A rare reason of pyometra: Appendix Carsinoid Tumor

Öz

Pyometra is the accumulation of purulent material in the uterine cavity and occurs because of conditions that interfere with the natural drainage of the uterus. The most common cause of pyometra is malignancy of genital tract. Appendiceal carcinoid tumors are usually an incidental finding in young patients undergoing surgery for suspected acute appendicitis. We aimed to present a case of pyometra resulting from carcinoid tumors of the appendix fistulized to the tuba uterina.

Anahtar Kelimeler

• Pyometra,appendiceal carcinoid tumors,acute appendicitis,carcinoid tumor

Pyometranın nadir nedeni: Apendiksin Karsinoid Tümörü

Öz

Piyometra uterin kavite içerisinde enfekte pürülan materyalin birikmesidir ve uterusun doğal drenajının bozulduğu durumlarda görülmektedir. En yaygın nedeni jinekolojik kanserlerdir. Apendiksin karsinoid tümörlerinde teşhis genellikle genç hastalarda akut apandisit tanısı ile yapılan apendektomilerde konulur. Biz bu olguda tuba uterinaya fistülize apendiksin karsinoid tümörü sonucu gelişen piyometra olgusunu sunmayı amaçladık.

Anahtar Kelimeler

• Piyometra,apendiksin karsinoid tümörü,akut apandisit,karsinoid tümör

Kaynakça

1. Muram D, Drouin P, Thompson FE, Oxorn H. Pyometra. Can Med Assoc J 1981;125:589-92.
2. Ikeda M, Takahashi T, Kurachi H. Spontaneous perforation of pyometra: a report of seven cases and review of the literature. Gynecol Obstet Invest 2013;75:243-9.
3. SoleymaniMajd H, Watermeyer S, Ismail L. Pyometra presenting in conjunction with bowel cancer in a post-menopausal women: a case report. Cases J 2008;1:24.
4. Hansen PT, Lindholt J. Spontaneously perforated pyometra. A differential diagnosis in acute abdomen. Ann Chir Gynaecol 1985;74:294-5.
5. Pinchot SN, Holen K, Sippel RS, Chen H. Carcinoid tumors. Oncologist 2008;13:1255-69.
6. Yao JC, Hassan M, Phan A, Dagohoy C, Leary C, Mares JE, Abdalla EK, Fleming JB, Vauthey JN, Rashid A, Evans DB. Onehundred years after “carcinoid”: epidemiology of and prognostic factors for neuroendocrine tumors in 35,825 cases in the United States. J Clin Oncol 2008;26:3063- 72.
7. Modlin IM, Lye KD, Kidd M. A 5-decade analysis of 13,715 carcinoid tumors. Cancer 2003;97:934-59.
8. Yildizhan B, Uyar E, Sişmanoğlu A, Güllüoğlu G, Kavak ZN. Spontaneous perforation of pyometra. Infect Dis Obstet Gynecol 2006;2006:26786.

9. Kim TH, Lee HH, Chung SH. Presenting features of pyometra including an increase in iatrogenic causes. J Low Genit Tract Dis 2011;15:316-7.
10. Yeung SW, Cheung CW, Wong AS, Fan HL, Chan JH, Sahota DS, Lao TT. Epidemiology and spectrum of positive bacteriological culture in intrauterine fluid collected from women with postmenopausal bleeding. Menopause 2014;21:794-8.
11. Agarwal R, Suneja A, Sharma A, Vaid NB. An unusual etiology of spontaneous pyometra perforation; a case report. J Reprod Infertil 2011;12:235-8.
12. Ellis L, Shale MJ, Coleman MP. Carcinoid tumors of the gastrointestinal tract: trends in incidence in England since 1971. Am J Gastroenterol 2010;105:2563-9.
13. Roggo A, Wood WC, Ottinger LW. Carcinoid tumors of the appendix. Ann Surg 1993;217:385-90.
14. Moertel CG, Weiland LH, Nagorney DM, Dockerty MB. Carcinoid tumor of the appendix: treatment and prognosis. N Engl J Med 1987;317:1699- 701.
15. Chan LY, Yu VS, Ho LC, Lok YH, Hui SK. Spontaneous uterine perforation of pyometra. A report of three cases. J Reprod Med 2000;45:857-60.