April Case of the Month

A 55-year-old post-menopausal woman was admitted in respiratory distress and expired within three hours. She had a three-year history of treated hypertension. She endorsed increasing shortness of breath, giddiness and easy fatigability for the preceding month. A previous echocardiograph had been normal and computed tomography (CT) revealed a bulky cervix with hydrometra, left mild hydronephrosis, retroperitoneal / bilateral iliac lymphadenopathy, sclerotic lesions in the lower lumbar vertebrae, and passive venous congestion of the liver. She was treated only symptomatically with bronchodilators. A complete autopsy was performed. Sections from the lung (Figures 1-4) and liver (Fig 5) are shown. Figure 6 is a gross photograph of the uterus and cervix.

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