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Published on: July 25, 2017
[Giant piometra originating high serum levels of CA-125]
1Servicio de Oncología Quirúrgica, Hospital General Tacuba, ISSSTE, México, DF. cortizmendoza@yahoo.com.mx
Abstract:
A case report patient with pyometra is infrequent. The aim of this communication is to present rare manifestations of it. A 65-year-old female with an ovarian cyst diagnosis was evaluated. She reported that since two years ago abdominal perimeter increased progressively. Physical exam revealed a 28 cm abdominal tumor. An ultrasound and a CT scan supported clinical diagnosis.
Laboratory Test Results:
white cell count 7100/mm3, and CA-125: 214 U/mL. With a presumptive ovarian cancer diagnosis an exploratory laparotomy was carried out.
Operative Findings:
a 26 cm uterus with atrophic ovaries. A total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. The histopathology test results revealed a massive coagulated pyometra.
Conclusion:
A giant pyometra is an exceptional event, and also it can increase CA-125 serum levels.
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