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Urogenital #3

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.

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