Spontaneous Rupture of Pyometra

Fatemeh Mallah, Tahere Eftekhar, Mohammad Naghavi‐Behzad
In: Case Reports in Obstetrics and Gynecology · 2013 · vol. 2013 , pp. 1–2 · doi:10.1155/2013/298383 · PMID:24024054 · W2133240411
article OA: gold CC0 ⤵ 6 in-corpus citations
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Two cases of diffuse peritonitis caused by spontaneous pyometra rupture are presented, with diagnosis confirmed only upon laparotomy which revealed pus and uterine rupture in both patients.

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Abstract

Spontaneous perforation is a very rare complication of pyometra. The clinical findings of perforated pyometra are similar to perforation of the gastrointestinal tract and other causes of acute abdomen. In most cases, a correct and definite diagnosis can be made only by laparotomy. We report two cases of diffuse peritonitis caused by spontaneous perforated pyometra. The first case is a 78-year-old woman with abdominal pain for which laparotomy was performed because of suspected incarcerated hernia. The second case is a 61-year-old woman with abdominal pain for which laparotomy was performed because of symptoms of peritonitis. At laparotomy of both cases, 1 liter of pus with the source of uterine was found in the abdominal cavity. The ruptured uterine is also detected. More investigations revealed no malignancy as the reason of the pyometra.

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