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Spontaneous Perforation of Pyometra: A Case Report
Author(s) -
Kaneko Yoshiharu,
Doi Misa,
Kaibara Manabu
Publication year - 1994
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1994.tb00467.x
Subject(s) - pyometra , medicine , exploratory laparotomy , uterus , surgery , fundus (uterus) , perforation , laparotomy , abdominal pain , uterine perforation , peritonitis , hysterectomy , acute abdomen , population , materials science , environmental health , family planning , punching , research methodology , metallurgy
Spontaneous perforation is a rare complication of pyometra and is usually associated with uterine cervical occlusion. We report a very rare case of spontaneously perforated pyometra without cervical occlusion. A 56‐year‐old woman with severe abdominal pain was admitted to our hospital. Exploratory laparotomy was performed because of suspicion of gastro‐intestinal perforation with generalized peritonitis. There was no perforation of the stomach, gallbladder, or bowels, but examination of the uterus revealed a perforation of the uterine fundus. A total abdominal hysterectomy with bilateral salpingo‐oophorectomy was performed. Pathological investigation of the surgical specimen revealed endometritis and myometritis of the uterus; but there was no evidence of malignancy, and the cervical canal was patent. Although spontaneously perforated pyometra is rare, the condition must be born in mind with regard to elderly women with acute abdominal pain.