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Japanese Journal of Clinical Oncology 2007 37(3):241; doi:10.1093/jjco/hym013
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© 2007 Foundation for Promotion of Cancer Research

A Case of Two-humped Hydrometra with a Recurrent Uterine Cervical Cancer

Morio Sawada and Yasuaki Arai

Gynecology Division and Diagnostic Radiology Division,
National Cancer Center Hospital, Tokyo, Japan

A 60-year-old woman was referred to our hospital for the treatment of a locally-advanced cervical tumor. A pelvic examination, computed tomography, magnetic resonance imaging (MRI) and cystscopy showed a bulky tumor involving the left parametrium, the pelvic wall and the upper part of the vagina. The pathological diagnosis was squamous cell carcinoma of the uterine cervix and the clinical stage was IIIb. As the initial radiotherapy was not effective, she underwent a systemic chemotherapy.

Two months after the chemotherapy, she complained of lower abdominal pain and distention. At the pelvic examination, the vagina was completely closed as a result of severe adhesion. MRI demonstrated a two-humped hydrometra, caused by the local recurrence at the uterine cervix (Fig. 1, arrow). The upper cavity was an enlarged uterus, while the lower cavity was a markedly dilated endocervical canal. In order to relieve the complaint, percutaneous drainage of the hydrometra was performed. The first step was to aspirate the lower hydrometra from the buttock. The second step was to place a drainage tube bridging the two cavities, because there was no communication between them (Fig. 2). At the third step, the cavity of the uterus was ablated with ethanol. The woman was freed from the abdominal pain.


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This Article
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