title: [Uterine spontaneous secondary perforation to pyometra in a patient with cervicouterine cancer: report of a case].
abstract: The pyometra is a rare condition, with an incidence of less than 1%. In patients with cervical cancer, spontaneous rupture of pyometra manifests as a generalized peritonitis, which is extremely rare, in the literature only seven cases are described. This paper reports the case of a patient with a history of postmenopausal vaginal bleeding one month before her admission to the hospital; she attended because of acute abdomen. The CT scan reported air in the abdominal cavity and the uterus with air at the periphery, so she underwent an exploratory laparotomy in which purulent material was found with two perforations in the uterine fundus. She underwent total abdominal extrafacial hysterectomy with histopathological diagnosis of keratinizing squamous cell carcinoma, moderately differentiated.
authors: Hospital General Doctor Manuel Gea González, SS México DF. gosthbe@hotmail.com
authors: María Gloria
authors: MG
authors: González-Medrano
authors: Luz María
authors: LM
authors: Uribe-Koch
authors: María Rocío
authors: MR
authors: del Estrada-Hernández
authors: Roberto Carlos
authors: RC
authors: Ojendiz-Nava
authors: Alejandra
authors: A
authors: Pérez-Morales
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000473:pathology / Q000601:surgery; D004716:Endometritis / Q000150:complications; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008207:Lymphatic Metastasis; D010052:Ovariectomy; D010538:Peritonitis / Q000150:complications; D055112:Pyometra / Q000150:complications*; D002583:Uterine Cervical Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014595:Uterine Perforation / Q000209:etiology*