A Rare Case of Pyometra in a 65-Year-Old Post-menopausal Woman

Pyometra is a gynecological condition characterized by pus accumulation in the endometrial cavity. It is a rare condition, and it should be included in the differential diagnosis of abdominal pain in postmenopausal women. We present a case of a 65-year-old postmenopausal woman with complaints of fou...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-07, Vol.16 (7), p.e64973
Main Authors: Dhabalia, Rishabh, Parihar, Pratapsingh, Kashikar, Shivali V, Naseri, Suhit, Sagar, Shakti
Format: Article
Language:English
Subjects:
Abdomen
Biopsy
Case reports
Cervix
Fever
Fibroids
Gynecology
Medical diagnosis
Microorganisms
Obstetrics/Gynecology
Pain
Pathology
Patients
Pelvis
Peritonitis
Radiology
Ultrasonic imaging
Uterus
Vagina
Women
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Pyometra is a gynecological condition characterized by pus accumulation in the endometrial cavity. It is a rare condition, and it should be included in the differential diagnosis of abdominal pain in postmenopausal women. We present a case of a 65-year-old postmenopausal woman with complaints of foul-smelling white discharge, itching in the perineal region, lower abdominal pain, and postmenopausal bleeding for two to three months. USG of the pelvis was done outside, which revealed heterogeneous ill-defined cervical growth with endometrial fluid collection and multiple uterine fibroids. CT and MRI of the pelvis were done in our hospital, which revealed an ill-defined heterogeneously enhancing growth in the cervix with multiple uterine fibroids and heterogeneous endometrial collection showing restricted diffusion in MRI suggestive of pyometra. Cervical biopsy revealed features suggestive of moderately differentiated squamous cell carcinoma.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.64973