AI Article Synopsis
- Only 8 cases of spontaneous uterine rupture in untreated cervical cancer have been documented, highlighting its rarity.
- A 52-year-old woman with a cervical tumor was admitted in critical condition, resulting in surgery where a perforation in the uterus was discovered along with 2000 mL of infected fluid.
- Despite receiving treatment, the patient ultimately died from complications, underscoring the need to consider spontaneous pyometra rupture in postmenopausal women with cervical cancer when they exhibit peritonitis symptoms.
Article Abstract
Only 8 cases of spontaneous uterine rupture in untreated cervical cancer have been reported in the literature. We present the case of a 52-year-old female, who was admitted to the emergency room due to hypovolemic shock and signs of peritonitis. A 6x4x4 cm cervical tumor was detected at physical exam. At laparotomy 2000 mL of purulent material were found and a 1-cm perforation in the posterior portion of the uterine segment was identified. A subtotal hysterectomy was performed. The patient received antibiotic and support at Intensive Care Unit. Finally, the patient presented ascendant flaccid paralysis and died due to bronchoaspiration. Spontaneous pyometra rupture in untreated cervical cancer is a rare condition and must be considered in postmenopausal women with cervical tumors and peritonitis signs.
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