Spontaneous Perforation of Pyometra Presenting as Generalized Peritonitis in a Patient with Cervical Cancer
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This case report describes a patient with cervical cancer who presented with generalized peritonitis due to spontaneous perforation of pyometra.
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Abstract
Pyometra is a relatively common event. However, it is extremely rare for this condition to perforate spontaneously into the peritoneum, and to date only 14 cases have been reported in English literature. We recently experienced such a case in a patient with cervical cancer. The clinical features, pathologic findings, diagnosis, therapy, and outcome of these 15 cases were reviewed. Only 5 cases were associated with malignant diseases, consisting of 2 cervical cancers, 2 colon cancers, and 1 endometrial cancer. All of the patients developed generalized peritonitis, and 4 patients died of this. Correct preoperative diagnosis was difficult. Therefore, immediate and appropriate therapy is important.
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Cited by (13)
- A Rare Case of Idiopathic Pyometra in a Premenopausal Patient 2020
- Generalized peritonitis secondary to spontaneously perforated pyometra in elderly women:two cases with different clinical courses and surgical approaches and review of the literature 2020
- A Case Report and Literature Review of Spontaneous Perforation of Pyometra 2016
- WITHDRAWN: Huge postmenopausal pyometra: a complication of non-specific atrophic endometritis with senile cervical changes 2016
- Generalized Peritonitis Secondary to Spontaneous Perforation of Pyometra in a 63-Year-Old Patient 2013
- A rare case of peritonitis following spontaneous rupture of Pyometra 2012
- Perforated pyometra presenting as a pelvic abscess: A case report 2012
- Spontaneous Perforation of Pyometra Presenting as Generalized Peritonitis 2011
- Spontaneous perforation of pyometra in a cervical cancer patient: a case report and literature review 2009
- Spontaneous Perforated Pyometra with an Intrauterine Device in Menopause: a Case Report 2008
- Computed tomography features of spontaneously perforated pyometra: a case report 2006
- Generalized peritonitis due to spontaneously perforated pyometra presenting as pneumoperitoneum: Report of a case 2000
- Generalized peritonitis with pneumoperitoneum caused by the spontaneous perforation of pyometra without malignancy: Report of a case 1999
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