Case Report: Cervical cancer masquerading as ovarian tumor: diagnostic challenges in a case with severe pyometra-pyocolpos complex.

ABSTRACT:

Introduction and importance

Early-stage cervical cancer, which is often asymptomatic, presents considerable diagnostic difficulties when accompanied by vaginal adhesions that conceal malignant lesions. In this report, we describe an exceptionally rare case of cervical cancer complicated by extensive pyometra and pyocolpos, highlighting key diagnostic challenges and evidence-based treatment approaches.

Case presentation

A 61-year-old postmenopausal woman presented with abdominal distension and pain. Initial imaging, including ultrasound and CT, suggested an ovarian tumor. However, contrast-enhanced MRI identified a pyometra and pyocolpos complex, with malignant cytology detected in the drained fluid. Diagnostic exploratory laparotomy was necessitated due to extensive pyometra

SUBMITTER: Xie C 

PROVIDER: S-EPMC12421625 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature