Peritonitis as a Result of Spontaneous Rupture of Uterus due to Pyometra: A Diagnostic Dilemma

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This case report describes the successful laparotomy management of spontaneous uterine rupture due to pyometra causing peritonitis, highlighting its rarity and diagnostic challenge in elderly females.

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Abstract

Peritonitis as a result of spontaneous rupture of the uterus due to pyometra is a very rare entity. Since 1980, only a few cases of spontaneous rupture of the uterus due to pyometra have been reported in the literature. It is a diagnostic dilemma for a surgeon and a possibility of this entity though very rare should be borne in mind in an elderly female patient with diffuse peritonitis as outcome improves greatly on timely diagnosis and proper management. We present a case of peritonitis due to spontaneous rupture of the uterus due to pyometra which was diagnosed at laparotomy and managed successfully.

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last seen: 2026-06-10T17:14:06.276822+00:00
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