[Pyometra as a complication of invasive endocervical cancer]

We present a case of pyometra due to cervical cancer in a 62 years-old female with purulent discharge, abdominal pain and vaginal bleeding. At the examination we found the cervix with a cupula form, an ulcer in the external orifice, and normal vaginal fornixes and parametria. During an attempt of edometrial biopsy we noticed the output of 150 mL of pus from the uterine cavity. The endocervical channel and orifice biopsy reported invasive epidermoid carcinoma, thus it was clinically classified as IBI. We began antibiotic treatment and asked for extension and preoperatory studies, which were normal. Three weeks after draining the purulent material we made radical hysterectomy. The histopathological report showed a moderately different epidermoid carcinoma, of two centimeters, endocervical, obstructive, and of 30 resected nodes; one of them had metastasis, for which it was sent to radiotherapy. Pyometra can be a complication of invasive endocervical cancer.