Clinico-pathologic case: 26 years old Woman with abdominal pain and ascites

Mujer de 26 años natural de Ecuador, sin antecedentes de interés, que refiere dolor abdominal y síndrome febril sin foco claro, presentando durante el ingreso ascitis, lesiones cutáneas y afectación sinusoidal. Tras maniobras diagnósticas se requiere laparotomía exploratoria con resultado de necrosis uterina masiva que obliga a histerectomía urgente, ingresando en UCI donde fallece. El caso se presenta en el foro de las sesiones clinicopatológicas del Hospital Son Espases.The case is that of a 26 years old ecuatorian woman with no pathological history, who arrives at the emergency room with the main complaint of abdominal pain and fever of unknown origin. She suffered from ascites, skin papules and sinus disease. After all the preliminary diagnostic tests were done, she underwent a diagnostic laparotomy which rendered the result of uterine necrosis, leading to hysterectomy. She was admitted to the intensive care unit, where she died a few days later. The case is discussed in the context of a clinico-pathologic general session at Hospital Son Espases