Acute urinary retention in pyometra secondary to endocervical adenocarcinoma

Abstract

An elderly 76 years old grandmultipara (P10) post menopausal for several years, presented with acute urinary retention, believed to be a case of pelvic abscess underwent repeated attempt of sterile pus aspiration amounting to more than 1300ml. Finally at hysterectomy, acute retroversion and pelvic impaction of pyometra was found to be the main cause of urinary retention which is described in this case report with rare conjugal findings of coexistent ovarian cystadenoma. In conclusion, any cystic lesion suspected as pelvic abscess may instead be a pyometra, reasonably in an elderly post menopausal woman with high parity where cervical carcinoma stands as a predisposing factor for cervical os stenosis.