Vaginal stenosis with cervical intraepithelial neoplasia in a postmenopausal patient with pyometra: a diagnostic dilemma

Jenifer Ahmad, Meena N. Satia, V. R. Badhwar


Postmenopausal patient presenting with pain and lump in abdomen should be considered as a complication caused by gynaecological malignancy unless proved otherwise pyometra is most common in postmenopausal women but it can affect women of child bearing age as well. Usually it is caused by impairment of natural drainage of the cervix due to malignant diseases of genital tract and consequences of their treatment with radiotherapy. Authors report one such case with cervical intraepithelial neoplasia with uterus markedly enlarged to 26-28 weeks size with Vaginal stenosis in an eighty-year-old postmenopausal patient.


Cervical intraepithelial neoplasia, Malignancy, Postmenopausal, Pyometra, Stenosis, Vaginal

Full Text:



Lee DH, Cho DH, Lee JH, Kim YR. A case of postmenopausal pyometra caused by endometrial tuberculosis. Korean J Obstet Gynecol. 2012;55:429-32.

Chauhan SCA, Sherama LCMM, Banerjee BJK. Spontaneous perforation of pyometra: a rare cause of diffuse peritonitis. Med J Armed Forces India. 2015;71:192-3.

Yadav P, Poddar DP, Chavan K, Saraogi R. Huge pyometra in a postmenopausal age: a diagnostic dilemma. Int J Reprod Contracept Obstet Gynecol. 2015;4:1549-51.

Wolf, Judith. Prevention and treatment of vaginal stenosis resulting from pelvic radiation therapy. Community Oncol. 2006;3:10.

Kerimoglu OS, Pekin A, Yilmaz SA, Bakbak BB, Celik C. Pyometra in elderly post-menopausal women: a sign of malignity. Eur J Gynaecol Oncol. 2015;36(1):59-61.

Inui A, Nitta A, Yamamoto A. Generalized peritonitis with pneumoperitoneum caused by the spontaneous perforation of pyometra without malignancy: Report of a case. Surg Today. 1999;29:935.