Huge pyometra in a postmenopausal age: a diagnostic dilemma

Pramila Yadav, Nikhil Datar, Pabashi Poddar, Komal Chavan, Rajendra Saraogi


Pyometra in postmenopausal women is an extremely rare disease that hardly responds to the usual treatment of antibiotics therapy. Our case presented as a postmenopausal woman with a huge pyometra. Pyometra drainage was done with great difficulty after a blind biopsy. Endometrial and cervical biopsy followed by endometrial curettage was done. An intrauterine foley’s catheter was kept for seven days and Histopathological report was suggestive of squamous cell carcinoma of cervix.

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Lee DH, Cho DH, Lee JH, Kim YR. A case of postmenopausal pyometra caused by endometrial tuberculosis. Korean J Obstet Gynecol. 2012;55(6):429-32.

Chauhan SCA, Sharma LCMM, Banerjee BJK. Spontaneous perforation of pyometra: A rare cause of diffuse peritonitis; Medical Journal armed forces India. 2015;71:192-3.

Singhal M, Tanwar R, Kumar A, Prasad S. A Rare Case of Tuberculosis Pyometra in a Young Infertile Female Confirmed by mRNA-based RT-PCR, Journal of Family and Reproductive Health. 2012;6(3).

Agarwal R, Suneja A, Sharma A, Vaid NB. An Unusual Etiology of Spontaneous Pyometra

Perforation: a case report, J Reprod Infertil. 2011;12(3):235-8.