Generalized peritonitis with pneumoperitoneum caused by the spontaneous perforation of pyometra without malignancy: Report of a case
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This case report details an elderly woman with generalized peritonitis and pneumoperitoneum resulting from spontaneous pyometra perforation, highlighting pyometra as a potential cause of acute abdomen in older women.
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Abstract
Spontaneous perforation is a very rare complication of pyometra. We report herein the case of an 88-year-old woman who presented with muscular rigidity and free air on abdominal X-ray films. Perforation of the gastrointestinal tract was diagnosed preoperatively, and an emergency laparotomy was performed. A total hysterectomy with bilateral salpingo-oophorectomy was carried out under the diagnosis of generalized peritonitis caused by the spontaneous perforation of pyometra. The culture of purulent fluid from the abdominal cavity showed only Escherichia coli, with no anaerobic bacteria. Histological examination revealed pyometra with necrosis of the endometrium and no evidence of malignancy. The patient was discharged on postoperative day 68 without any major complications. Pyometra is an unusual cause of peritonitis, but it must be considered as a possible diagnosis in elderly women presenting with an acute abdomen. Following this case report, we discuss the problems associated with establishing a correct preoperative diagnosis of generalized peritonitis caused by the spontaneous perforation of pyometra.
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Too few in-corpus citations on either side for a chart; here are the lists.
Cites (2)
- Spontaneous Perforation of Pyometra Presenting as Generalized Peritonitis in a Patient with Cervical Cancer 1993
- Spontaneously perforated pyometra presenting as diffuse peritonitis: Report of a case 1994
Cited by (4)
- A Case Report and Literature Review of Spontaneous Perforation of Pyometra 2016
- Computed tomography features of spontaneously perforated pyometra: a case report 2006
- Damage control surgery for spontaneous perforation of pyometra with septic shock: a case report 2021
- Spontaneous Perforation of Pyometra Presenting as Generalized Peritonitis 2011
References (15)
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Cited by (4)
- Damage control surgery for spontaneous perforation of pyometra with septic shock: a case report 2021
- A Case Report and Literature Review of Spontaneous Perforation of Pyometra 2016
- Spontaneous Perforation of Pyometra Presenting as Generalized Peritonitis 2011
- Computed tomography features of spontaneously perforated pyometra: a case report 2006
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- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
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- last seen: 2026-08-23T06:29:45.520198+00:00
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