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

Soo Min Lee; Yoon Sung Jo; Min Jeong Kim; Eun Jung Kim; Sa JIn Kim

doi:10.5468/kjog.2010.53.4.377

Journal List > Korean J Obstet Gynecol > v.53(4) > 1006407

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Lee, Jo, Kim, Kim, and Kim: Spontaneous uterine perforation due to pyometra presenting as acute abdomen in older age

Case Report

Korean Journal of Obstetrics and Gynecology

Korean Journal of Obstetrics and Gynecology 2010; 53(4): 377-380.

Published online: 30 April 2010

DOI: https://doi.org/10.5468/kjog.2010.53.4.377

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

Soo Min Lee, M.D., Yoon Sung Jo, M.D., Min Jeong Kim, M.D., Eun Jung Kim, M.D., Sa JIn Kim, M.D.

Department of Obstetrics and Gynecology, Catholic University of Korea College of Medicine, Seoul, Korea.

Corresponding author (ksajin@catholic.ac.kr)

Received 1 August 2009 Accepted 8 March 2010

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.

Keywords: Pyometra, Perforation

Figures and Tables

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).

References

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