[Secondary peritonitis due to rupture of pyometra in cervical cancer].
Only 8 cases of spontaneous uterine rupture in untreated cervical cancer have been reported in the literature. We present the case of a 52-year-old female, who was admitted to the emergency room due to hypovolemic shock and signs of peritonitis. A 6x4x4 cm cervical tumor was detected at physical exam. At laparotomy 2000 mL of purulent material were found and a 1-cm perforation in the posterior portion of the uterine segment was identified. A subtotal hysterectomy was performed. The patient received antibiotic and support at Intensive Care Unit. Finally, the patient presented ascendant flaccid paralysis and died due to bronchoaspiration. Spontaneous pyometra rupture in untreated cervical cancer is a rare condition and must be considered in postmenopausal women with cervical tumors and peritonitis signs.
Zeferino Toquero
Moisé
M
Servicio de oncología ginecológica, Hospital de Ginecoobstetricia Luis Castelazo Ayala, Instituto Mexicano del Seguro Social, México. moiseszz@hotmail.com
Bañuelos Flores
Joel
J
D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology*; D012422:Rupture, Spontaneous; D013492:Suppuration; D002583:Uterine Cervical Neoplasms / Q000150:complications*; D014591:Uterine Diseases / Q000150:complications*