87-year-old woman:
* Presented with lower abdominal discomfort and weight loss.
* Pelvic MRI is performed.
Blood, hematometra
Cervical cancer
Imperforate hymen, vaginal septum, vaginal hypoplasia
In non-adolescent women, hematometra can often be caused by malignancy, so a search for cervical/endometrial cancer must be done.
30-year-old female patient:
– With cervical cancer
– Recent hysterectomy with bilateral adnexectomy and pelvic lymphadenectomy
– Urinary tract infection with pyuria
– Persistent pelvic fluid collection between the vaginal stump and rectum (asterisk)
– Contrast-enhanced CT (portal venous phase) shows the right ureter merging with the collection (arrow)
Scan in the excretory (urographic) phase
*Usually performed 10 minutes after contrast injection, but useful even if done a couple of hours later (such as in this case)
Urinoma – iatrogenic
Urology consultation
Double-J ureteral stent was placed
