Endometrial adenocarcinoma presenting as a hematotrachelos

Obstet Gynecol. 2014 Aug;124(2 Pt 2 Suppl 1):448-451. doi: 10.1097/AOG.0000000000000281.

Abstract

Background: Hematotrachelos, distension of the uterine cervix with accumulated blood, is an extremely rare condition resulting from a congenital anomaly or an acquired condition. We present a case in which an acquired hematotrachelos was the presenting sign of endometrial cancer.

Case: An asymptomatic 66-year-old woman was found to have a bulging cervix during a well-woman visit. Further workup revealed a hematotrachelos and an underlying endometrial adenocarcinoma. She was treated with surgery and adjuvant radiotherapy.

Conclusion: A hematotrachelos, although rare, can prevent vaginal bleeding, which is often the earliest symptom of a uterine malignancy. This case report illustrates the potential importance of the pelvic examination as part of the well-woman physical examination, because it led to the discovery of early-stage endometrial cancer.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / complications
  • Adenocarcinoma / diagnosis*
  • Aged
  • Diagnosis, Differential
  • Endometrial Neoplasms / complications
  • Endometrial Neoplasms / diagnosis*
  • Female
  • Hematoma / etiology*
  • Humans
  • Uterine Cervical Diseases / etiology*