Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2014 Aug 17;16(9):e14491.
doi: 10.5812/ircmj.14491. eCollection 2014 Sep.

Spontaneous uterine perforation caused by pyometra: a case report

Zohreh Yousefi  1 , Noorieh Sharifi  1 , Maryam Morshedy  1
Affiliations
Case Reports

Spontaneous uterine perforation caused by pyometra: a case report

Zohreh Yousefi et al. Iran Red Crescent Med J. .

Abstract

Introduction: Pyometra is an accumulation of purulent material or pus in the uterine cavity. Spontaneous perforation of uterus by pyometra is rare. This is a clinical presentation and management of a spontaneous perforation of uterine caused by pyometra.

Case presentation: This is a case report on spontaneously perforated associated with pyometra secondary to cervical malignancy. The patient underwent exploratory laparotomy with total hysterectomy and bilateral salpingo-oophorectomy.

Conclusions: Spontaneous rupture of pyometra duo to cervical cancer in cases of acute abdomen in elderly patients should be considered.

Keywords: Acute Abdomen; Postmenopause; Pyometra; Uterine Perforation.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.. CT-Scan: A round mass, cystic lesion and focal calcification at its periphery, probably ovarian cyst adenoma.
Figure 2.
Figure 2.. CT-Scan: Mass, a 14 × 11.5 cm cystic lesion in pelvic cavity without significant change in post-contrast images.
Figure 3.
Figure 3.. Macroscopic view of Ruptured Uterus Associated with Cervical Carcinoma and Pyometra
Figure 4.
Figure 4.. Uterine Wall With Extensive Necrosis and Fibrinoleukocyter Exudates (H × E 100 ×)
See this image and copyright information in PMC

References

    1. Ou YC, Lan KC, Lin H, Tsai CC, ChangChien CC. Clinical characteristics of perforated pyometra and impending perforation: specific issues in gynecological emergency. J Obstet Gynaecol Res. 2010;36(3):661–6. doi: 10.1111/j.1447-0756.2010.01184.x. - DOI - PubMed
    1. Ikeda M, Takahashi T, Kurachi H. Spontaneous perforation of pyometra: a report of seven cases and review of the literature. Gynecol Obstet Invest. 2013;75(4):243–9. doi: 10.1159/000349981. - DOI - PubMed
    1. Lim SF, Lee SL, Chiow AK, Foo CS, Wong AS, Tan SM. Rare cause of acute surgical abdomen with free intraperitoneal air: Spontaneous perforated pyometra. A report of 2 cases. Am J Case Rep. 2012;13:55–7. doi: 10.12659/AJCR.882629. - DOI - PMC - PubMed
    1. Vyas S, Kumar A, Prakash M, Kapoor R, Kumar P, Khandelwal N. Spontaneous perforation of pyometra in a cervical cancer patient: a case report and literature review. Cancer Imaging. 2009;9:12–4. doi: 10.1102/1470-7330.2009.0002. - DOI - PMC - PubMed
    1. Lee SL, Huang LW, Seow KM, Hwang JL. Spontaneous perforation of a pyometra in a postmenopausal woman with untreated cervical cancer and "forgotten" intrauterine device. Taiwan J Obstet Gynecol. 2007;46(4):439–41. - PubMed

Publication types