Background: This case report describes an uncommon complication of generalized peritonitis following spontaneous perforation of pyometra. Case: A 60-year-old postmenopausal woman presented with clinical features of acute abdomen, and she was later diagnosed with pyometra perforation after a computed tomography scan. Laparotomy was performed, followed by a total abdominal hysterectomy with a bilateral salpingo-oopherectomy. Results: The patient died on her third postoperative day. Conclusions: Spontaneous pyometra perforation is a rare clinical condition; yet, it should be suspected and kept in the differential diagnosis of acute abdomen in elderly women. (J GYNECOL SURG 28:234)
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References
1.
ChanLY, LauTK, WongSF, YeunPM. Pyometra: What is its clinical significance?J Reprod Med, 2001; 46:952.
2.
GitaR, JainK, VaidNB. Spontaneous rupture of pyometra. Int J Gynecol Obstet, 1995; 48:111.
3.
ChanLY, YuVS, HoLC, LokYH, HuiSK. Spontaneous uterine perforation of pyometra: A report of three cases. J Reprod Med, 2000; 45:857.
4.
InuiA, NittaA, YamamotoAet al.Generalised peritonitis with pneumoperitoneum caused by the spontaneous perforation of pyometra without malignancy: Report of a case. Surg Today, 1999; 29:935.
5.
ImachiM, TnakaS, IshikawaS, MatsuoK. Spontaneous perforated pyometra presenting as generalized peritonitis in a patient with cervical cancer. Gynecol Oncol, 1993; 50:384.
6.
YildizhanB, UyarE, AlperSet al.Spontaneous perforation of pyometra: A case report. Infect Dis Obstet Gynecol, 2006; 2006:1.
7.
VyasS, KumarA, PrakashM, KapoorR, KumarP, KhandelwalN. Spontaneous perforation of pyometra in a cervical cancer patient: A case report and review of literature. Cancer Imag, 2009; 9:12.
