Resumo

LOBATO MIGUELEZ, José; SAN ROMAN SIGLER, María  e  LóPEZ VALVERDE, Miguel. Giant Benign Senile Pyometra in Bicornuate Uterus. Medisur [online]. 2014, vol.12, n.2, pp. 426-430. ISSN 1727-897X.

Pyometra is an accumulation of pus in the endometrial cavity. It occurs when there is a stenosed cervical os as a result of malignant growths in the uterus or cervix, surgery or radiation therapy and senile atrophy. We present the case of an 84-year-old female patient referred to the Emergency Service of the Basurto University Hospital in Bilbao, Spain by the doctor of the nursing home where she is institutionalized because of a two-week history of continued fever without apparent cause. She was diagnosed with urinary tract infection and treated with amoxicillin/clavulanate. Based on the imaging tests, a pyometra in bicornuate uterus was diagnosed. She underwent drainage of the pyometra via the vaginal route, under general anesthesia, after mechanical dilation of the cervical canal. Treatment with ertapenen was prescribed. Progression was satisfactory. Given the rarity of this case, we decided to present it.

Palavras-chave : pyometra; suppuration; uterine diseases; aged, 80 and over; case reports.

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