The dual danger of pyometra and endometrial carcinoma: a case report
Background. Pyometra, a collection of purulent material within the endometrial cavity, is a relatively uncommon gynaecological condition. Spontaneous perforation of the uterus is an infrequent complication of pyometra, most often the result of malignant conditions in the uterus. Case presentation. W...
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| Format: | Article |
| Language: | English English |
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Ital J Gynaecol Obstet
2024
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| Online Access: | https://eprints.ums.edu.my/id/eprint/39482/1/ABSTRACT.pdf https://eprints.ums.edu.my/id/eprint/39482/2/FULL%20TEXT.pdf |
| _version_ | 1811136479087296512 |
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| author | Dayang Corieza Febriany Mohamed Arif Hameed Sultan Zubair Ahmad Sharifuddin Anand Raj Thangavelu Cindy Chin |
| author_facet | Dayang Corieza Febriany Mohamed Arif Hameed Sultan Zubair Ahmad Sharifuddin Anand Raj Thangavelu Cindy Chin |
| author_sort | Dayang Corieza Febriany |
| collection | UMS |
| description | Background. Pyometra, a collection of purulent material within the endometrial cavity, is a relatively uncommon gynaecological condition. Spontaneous perforation of the uterus is an infrequent complication of pyometra, most often the result of malignant conditions in the uterus. Case presentation. We report the case of an elderly woman who had acute abdominal pain due to a ruptured uterus secondary to pyometra resulting from an infected endometrial mass diagnosed on computed tomography. She underwent an urgent exploratory laparotomy, and a total hysterectomy and bilateral salpingo-oophorectomy were performed. Her CA-125 level was raised (102.3 U/ml) and the histopathological examination (HPE) of the endometrial mass confirmed an endometrial carcinoma. The rest of the HPE shows necrotic and inflamed perforated uterus and pyometra. No organism growth was detected in both endometrial or peritoneal pus cultures. Postoperatively, she received intravenous antibiotics and gradually recovered and discharge well. Conclusions. When an elderly post-menopausal patient presented with an acute abdomen, the possibility of a ruptured uterine perforation secondary to pyometra needs to be considered and the cause of this condition needs to be further investigated. |
| first_indexed | 2024-09-24T00:51:11Z |
| format | Article |
| id | ums.eprints-39482 |
| institution | Universiti Malaysia Sabah |
| language | English English |
| last_indexed | 2024-09-24T00:51:11Z |
| publishDate | 2024 |
| publisher | Ital J Gynaecol Obstet |
| record_format | dspace |
| spelling | ums.eprints-394822024-08-05T03:22:33Z https://eprints.ums.edu.my/id/eprint/39482/ The dual danger of pyometra and endometrial carcinoma: a case report Dayang Corieza Febriany Mohamed Arif Hameed Sultan Zubair Ahmad Sharifuddin Anand Raj Thangavelu Cindy Chin RG1-991 Gynecology and obstetrics RG211-483 Abnormalities and diseases of the female genital organs Background. Pyometra, a collection of purulent material within the endometrial cavity, is a relatively uncommon gynaecological condition. Spontaneous perforation of the uterus is an infrequent complication of pyometra, most often the result of malignant conditions in the uterus. Case presentation. We report the case of an elderly woman who had acute abdominal pain due to a ruptured uterus secondary to pyometra resulting from an infected endometrial mass diagnosed on computed tomography. She underwent an urgent exploratory laparotomy, and a total hysterectomy and bilateral salpingo-oophorectomy were performed. Her CA-125 level was raised (102.3 U/ml) and the histopathological examination (HPE) of the endometrial mass confirmed an endometrial carcinoma. The rest of the HPE shows necrotic and inflamed perforated uterus and pyometra. No organism growth was detected in both endometrial or peritoneal pus cultures. Postoperatively, she received intravenous antibiotics and gradually recovered and discharge well. Conclusions. When an elderly post-menopausal patient presented with an acute abdomen, the possibility of a ruptured uterine perforation secondary to pyometra needs to be considered and the cause of this condition needs to be further investigated. Ital J Gynaecol Obstet 2024 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/39482/1/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/39482/2/FULL%20TEXT.pdf Dayang Corieza Febriany and Mohamed Arif Hameed Sultan and Zubair Ahmad Sharifuddin and Anand Raj Thangavelu and Cindy Chin (2024) The dual danger of pyometra and endometrial carcinoma: a case report. Italian Journal of Gynæcology & Obstetrics, 36 (2). pp. 1-5. ISSN 2385 – 0868 http://dx.doi.org/10.36129/jog.2023.121 |
| spellingShingle | RG1-991 Gynecology and obstetrics RG211-483 Abnormalities and diseases of the female genital organs Dayang Corieza Febriany Mohamed Arif Hameed Sultan Zubair Ahmad Sharifuddin Anand Raj Thangavelu Cindy Chin The dual danger of pyometra and endometrial carcinoma: a case report |
| title | The dual danger of pyometra and endometrial carcinoma: a case report |
| title_full | The dual danger of pyometra and endometrial carcinoma: a case report |
| title_fullStr | The dual danger of pyometra and endometrial carcinoma: a case report |
| title_full_unstemmed | The dual danger of pyometra and endometrial carcinoma: a case report |
| title_short | The dual danger of pyometra and endometrial carcinoma: a case report |
| title_sort | dual danger of pyometra and endometrial carcinoma a case report |
| topic | RG1-991 Gynecology and obstetrics RG211-483 Abnormalities and diseases of the female genital organs |
| url | https://eprints.ums.edu.my/id/eprint/39482/1/ABSTRACT.pdf https://eprints.ums.edu.my/id/eprint/39482/2/FULL%20TEXT.pdf |
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