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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

Journal of Medical Case Reports 1/2014

Diverticular disease of the colon presenting as pyometra: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2014
Autoren:
Susmita Pankaja, Astrit Rrukaj, Uma Bathula
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

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.

Abstract

Introduction

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.

Case presentation

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.

Conclusions

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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