The authors declare that they have no competing interests.
SP, AR and UB were involved in the management of our patient. SP collected the data/details and prepared the manuscript, revised it and submitted it. AR collected the data/details and prepared the manuscript. UB prepared and revised the manuscript. All authors read and approved the final manuscript.
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.
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.
Persistent vaginal discharge due to pyometra can be caused by diverticular disease of the colon. Clinicians should be aware of this important differential diagnosis.
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Yildizhan B, Uyar E, Sişmanoğlu A, Güllüoğlu G, Kavak Z: Spontaneous perforation of pyometra. Infect Dis Obstet Gynecol. 2006, 14: 26786-
Gay Francisco JA, Morales Velásquez AE, Vega Silva E: Spontaneous uterine perforation secondary to pyometra: a report of three cases. Ginecol Obstet Mex. 2005, 73: 456-463. PubMed
Mohamed A, Al Suhaibani Y, Emran F, Al Shami S: Colo-uterine fistula, a rare complication of diverticular disease of the colon, case report and literature review. Int J Surg. 2010, 25: 1-
- Diverticular disease of the colon presenting as pyometra: a case report
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