title: [Giant piometra originating high serum levels of CA-125].
abstract: A case report patient with pyometra is infrequent. The aim of this communication is to present rare manifestations of it. A 65-year-old female with an ovarian cyst diagnosis was evaluated. She reported that since two years ago abdominal perimeter increased progressively. Physical exam revealed a 28 cm abdominal tumor. An ultrasound and a CT scan supported clinical diagnosis.
  white cell count 7100/mm3, and CA-125: 214 U/mL. With a presumptive ovarian cancer diagnosis an exploratory laparotomy was carried out.
  a 26 cm uterus with atrophic ovaries. A total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. The histopathology test results revealed a massive coagulated pyometra.
  
  
  CONCLUSIONS
  A giant pyometra is an exceptional event, and also it can increase CA-125 serum levels.
authors.affiliation: Servicio de Oncología Quirúrgica, Hospital General Tacuba, ISSSTE, México, DF. cortizmendoza@yahoo.com.mx
authors.forename: Carlos Manuel
authors.initials: CM
authors.lastname: Ortiz Mendoza
mesh_terms: D000368:Aged; D018394:CA-125 Antigen / Q000097:blood*; D005260:Female; D006801:Humans; D055112:Pyometra / Q000097:blood* / Q000473:pathology
chemical_list: D018394:CA-125 Antigen