Diverticular disease of the colon presenting as pyometra: a case report

Journal of Medical Case Reports

Uma Bathula²  Astrit Rrukaj²  Susmita Pankaja¹ 

[1] Department of Obstetrics & Gynaecology, University Hospital of North Staffordshire, Princes Road, Stoke-on-Trent ST4 6QG, UK;Department of Obstetrics & Gynaecology, Mid Staffordshire NHS Foundation Trust, Stafford Hospital, Weston Road, Stafford ST16 3SA, UK

关键词: Endometrial cancer;    Diverticular abscess;    Pyometra;   

Others  :  821993
DOI  :  10.1186/1752-1947-8-135

 received in 2013-11-16, accepted in 2014-02-24,  发布年份 2014

【 摘 要 】

Introduction

Pyometra can be caused by various etiologies. We present a rare case of diverticular disease of the colon presenting as pyometra. This type of presentation can be challenging even for an astute clinician.

Case presentation

A 74-year-old Caucasian woman with a history of pyometra was referred to our gynecology clinic as an urgent case. She was obese, diabetic and hypertensive. Due to the patient profile and the clinical presentation, clinicians were misled toward a diagnosis of possible endometrial cancer. After further investigations, she was found to have colouterine fistula secondary to a diverticular abscess of the sigmoid colon.

Conclusions

Persistent vaginal discharge due to pyometra can be caused by diverticular disease of the colon. Clinicians should be aware of this important differential diagnosis.

【 授权许可】

   
2014 Pankaja et al.; licensee BioMed Central Ltd.

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