87-year-old woman:
* Presented with lower abdominal discomfort and weight loss.
* Pelvic MRI is performed.
What can be seen in the uterine cavity?
Blood, hematometra
In this case what is the cause?
Cervical cancer
What are some congenital causes of hematometra?
Imperforate hymen, vaginal septum, vaginal hypoplasia
Explanation:
In non-adolescent women, hematometra can often be caused by malignancy, so a search for cervical/endometrial cancer must be done.
Overdistended uterine cavity (retained hematometra) due to cervical cancer obtructing the cervical canal
Suspicious cervical mass causing cervical stenosis resulting in hematometra.