EC Gynaecology

This is a 61-year-old patient who came due to an incidental finding of pyometra on ultrasound, asymptomatic, having had an IUD for over 30 years, who raised the possibility of a local infectious condition versus an endometrial adenocarcinoma and with the impossibility of performing a hysteroscopic biopsy due to atrophic stenosis of the cervix, coupled with the lack of clinical resolution with antibiotic therapy, a preventive and diagnostic total abdominal hysterectomy was performed.

 Keywords: Pyometra; IUD; Endometrial Neoplasm; Sexagenarian

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