Perforation of a pyometra mimicking a perforated peptic ulcer

Kjeld Leisgård Rasmussen, Tom Knudsen, A. Luckow
In: Archives of Gynecology and Obstetrics · 1991 · vol. 248(4) , pp. 211–212 · doi:10.1007/bf02390360 · PMID:1898125 · W2094117084
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This case report describes a patient with a pyometra that perforated into the abdominal cavity, initially misdiagnosed as a perforated peptic ulcer.

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This paper reports a single patient in whom a pyometra perforated and leaked into the peritoneal cavity, leading to clinical suspicion of a perforated peptic ulcer. The authors note there was no associated stenosis of the cervical canal. As a case report, the main limitation is that it provides no generalizable data beyond this single presentation. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Summary We report on a patient with a pyometra which leaked into the peritoneal cavity and was mistaken for a perforated peptic ulcer. There was no associated stenosis of the cervical canal. Similar content being viewed by others References Boestofte E, Legarth J (1981) Spontaneous perforation of pyometra with diffuse peritonitis. Acta Obstet Gynecol Scand 60:511–512 Fagg SL, Sturdee DW (1982) Spontaneous rupture of pyometra. J Royal Coll Surg (Edinburgh) 27:241 Hansen PT, Lindholt J (1985) Spontaneous perforated pyometra — a differential diagnosis in acute abdomen. Ann Chir Gynecol 74:294–295 Hosking SW (1985) Spontaneous perforation of a pyometra presenting as generalized peritonitis. Postgrad Med J 61:645–646 Jones VA, Elkins TE, Wood SA, Buxton BH (1986) Spontaneous rupture of pyometra due to leiomyomata. J Reprod Med 31:637–638 Muram D, Drouin P, Thompson FE, Oxon H (1981) Pyometra. Can Med Assoc J 125:589–592 Parkinson DJ, Alderman B (1985) Spontaneous rupture of the uterus associated with pyometra. Postgrad Med J 61:73–74 Whiteley PF, Hamblett JD (1971) Pyometra — a reappraisal. Am J Obstet Gynecol 109:108–112 Author information Authors and Affiliations Rights and permissions About this article Cite this article Rasmussen, K.L., Knudsen, T.A. & Luckow, A. Perforation of a pyometra mimicking a perforated peptic ulcer. Arch Gynecol Obstet 248, 211–212 (1991). https://doi.org/10.1007/BF02390360 Issue date: DOI: https://doi.org/10.1007/BF02390360

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