Mullerian adenosarcoma - a variant of mullerian mixed mesodermal tumor of t
he uterus - is typically composed of benign but sometimes mildly atypical g
landular epithelial elements admired with malignant sarcomatous stroma. Thi
s rare tumor, which accounts for only about 8% of all uterine sarcomas, usu
ally originates in the endometrium and grows as a polypoid mass within the
endometrial cavity. The most prevailing presenting symptom is abnormal vagi
nal bleeding and the most common finding is a polypoid mass protruding thro
ugh a dilated cervical canal. The case of a woman, who at age 62 presented
with symptoms and signs of acute pelvic inflammatory disease and on vaginal
examination an infected mullerian adenosarcoma protruding through a dilate
d cervical canal was discovered, is reported. Treatment consisted of extens
ive antibiotic treatment and surgery comprised of total abdominal hysterect
omy and bilateral salpingo-oophorectomy followed by postoperative adjuvant
pelvic radiotherapy. One year later, the patient is alive with no evidence
of disease.