J Korean Surg Soc.  2009 Oct;77(4):279-281. 10.4174/jkss.2009.77.4.279.

Spontaneous Perforation of Pyometra Leading to Acute Abdomen

• Yoon JH
• Kim JH
• Kwak JH
• Choi GM
• Jang HJ
• Han MS

• KMID: 1464887
• DOI: http://doi.org/10.4174/jkss.2009.77.4.279

Abstract

A pyometra is an accumulation of pus in the endometrial cavity mostly due to obstruction of the cervical canal. It is a rare condition, and usually affects postmenopausal women. Moreover, spontaneous rupture of the uterus is an extremely rare complication of pyometra. We present a case of spontaneous perforation of pyometra, which presented as an acute abdomen in emergency and was misdiagnosed as gastrointestinal tract perforation.

Keyword

Acute abdomen; Pyometra

MeSH Terms

Abdomen, Acute
Emergencies
Female
Gastrointestinal Tract
Humans
Pyometra
Rupture, Spontaneous
Suppuration
Uterus

Figure

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  Fig. 1 Chest x-ray revealed free air in both subphrenic spaces.

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  Fig. 2 Yellowish-gray, thick material is identified in uterine cavity, endometrium is dark gray and eroded.

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