Korean J Obstet Gynecol.  2010 Apr;53(4):377-380. 10.5468/kjog.2010.53.4.377.

Spontaneous uterine perforation due to pyometra presenting as acute abdomen in older age

Affiliations
  • 1Department of Obstetrics and Gynecology, Catholic University of Korea College of Medicine, Seoul, Korea. ksajin@catholic.ac.kr

Abstract

Pyometra is an accumulation of purulent fluid in the uterine cavity. Generalized peritonitis secondary to a perforated pyometra is extremely rare. Most of the pyometra perforation is associated with malignancy. We have experienced a case of generalized peritonitis secondary to a perforated pyometra with no associated malignancy.

Keyword

Pyometra; Perforation

MeSH Terms

Abdomen, Acute
Peritonitis
Pyometra
Uterine Perforation

Figure

  • Fig. 1 Small air bubbles are seen on anterior body of uterus on CT scan.

  • Fig. 2 Notice a 1 cm sized hole on the anterior wall of the uterus.

  • Fig. 3 The resected uteus was filled with dark yellowish pus.

  • Fig. 4 Microscopic findings of pyometra. The microphotography reveals the endometrium infiltrated with numerous inflammatory cells (×200).


Reference

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