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Case Reports
. 2016 Apr;22(1):47-9.
doi: 10.6118/jmm.2016.22.1.47. Epub 2016 Apr 26.

Spontaneous Perforation of Pyometra

Nalini Sharma  1 , Ahanthem Santa Singh  2 , Wankhar Bhaphiralyne  3
Affiliations
Case Reports

Spontaneous Perforation of Pyometra

Nalini Sharma et al. J Menopausal Med. 2016 Apr.

Abstract

Pyometra is collection of purulent material which occurs when there is interference with its normal drainage. It is an uncommon condition with incidence of 0.1 to 0.5% of all gynecological patients. Spontaneous rupture of uterus is an extremely rare complication of pyometra. A 65-year-old lady presented with pain abdomen and purulent vaginal discharge. Preoperative diagnosis of pyometra was made by magnetic resonance imaging (MRI). Laparotomy followed by peritoneal lavage and repair of perforation was performed. Although spontaneously perforated pyometra is rare, the condition must be borne in mind with regard to elderly women with acute abdominal pain. Preoperative diagnosis of perforated pyometra is absolutely essential. Computed tomography (CT) and MRI are diagnostic tools. In selected cases conservative approach at surgery can be opted.

Keywords: Peritonitis; Postmenopause; Pyometra; Spontaneous uterine perforation.

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Conflict of interest statement

Conflict of Interest: No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1. Pyometra with uterine perforation in anterior wall.
Fig. 2
Fig. 2. About 1 into 1 cm rent was present on anterior wall of uterus.
See this image and copyright information in PMC

References

    1. Sawabe M, Takubo K, Esaki Y, Hatano N, Noro T, Nokubi M. Spontaneous uterine perforation as a serious complication of pyometra in elderly females. Aust N Z J Obstet Gynaecol. 1995;35:87–91. - PubMed
    1. Chan LY, Yu VS, Ho LC, Lok YH, Hui SK. Spontaneous uterine perforation of pyometra. A report of three cases. J Reprod Med. 2000;45:857–860. - PubMed
    1. Inui A, Nitta A, Yamamoto A, Kang SM, Kanehara I, Tanaka H, et al. Generalized peritonitis with pneumoperitoneum caused by the spontaneous perforation of pyometra without malignancy: report of a case. Surg Today. 1999;29:935–938. - PubMed
    1. Saha PK, Gupta P, Mehra R, Goel P, Huria A. Spontaneous perforation of pyometra presented as an acute abdomen: a case report. Medscape J Med. 2008;10:15. - PMC - PubMed
    1. Yildizhan B, Uyar E, Sişmanoğlu A, Güllüoğlu G, Kavak ZN. Spontaneous perforation of pyometra. Infect Dis Obstet Gynecol. 2006;2006:26786. - PMC - PubMed

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