Please use this identifier to cite or link to this item:
Title: Advanced clear cell carcinoma presenting as pyometra in the setting of a forgotten IUCD.
Author: Harrington, Patrick
Issue Date: 2017
Conference Name: Royal Australian and New Zealand College of Obstetricians and Gynaecologists 2017 Annual Scientific Meeting
Conference Date: October 29th – November 1st
Conference Place: Auckland, New Zealand
Abstract: Introduction: Pyometra is the accumulation of pus in the uterus. It is most common in post‐menopausal women with an incidence of approximately 0.2%, but can be ten times higher in those with a malignancy. Methods: I present the case of a well woman who presented to her local medical officer with purulent vaginal discharge and three weeks of lower abdominal pain (worse in right iliac fossa) with reported associated fevers and rigors in the setting of an intrauterine device that had been in situ for greater than 50 years. Investigation of this pyometra included a CT which showed omental thickening and ascites which, when sampled, showed atypical cells highly suspicious of malignancy. The patient proceeded to have an uncomplicated total abdominal hysterectomy, bilateral salpingoophorectomy and omentectomy with peritoneal washings leading to the diagnosis of an advanced clear cell carcinoma (FIGO stage IVb). Results: The presence of offensive discharge or indeed pyometra in the post‐menopausal woman should prompt detailed investigation as there is a strong association between this diagnosis and malignancy. Discussion: I discuss the clinical manifestation and management of this uncommon presentation
Internal ID Number: 01239
Health Subject: PYOMETRA
Type: Conference
Appears in Collections:Research Output

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.