A Strange Case of Fever: Hematopyometra As the Initial Presentation of Endometrial Adenocarcinoma.

Pyometra is a rare condition involving the accumulation of purulent material within the uterine cavity, typically affecting postmenopausal women. Clinical presentation varies and may be silent, but can include fever, abdominal pain, and vaginal discharge. In this case, we report a 62-year-old woman presenting with prolonged constitutional symptoms and fever, ultimately diagnosed with a large hematopyometra secondary to endometrial adenocarcinoma. This case emphasizes the need to consider gynecological causes in elderly female patients with persistent systemic symptoms.