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Yoon, Kim, Kwak, Choi, Jang, and Han: Spontaneous Perforation of Pyometra Leading to Acute Abdomen
Case Report
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2009; 77(4): 279-281.

Published online: 30 September 2009

DOI: https://doi.org/10.4174/jkss.2009.77.4.279

Spontaneous Perforation of Pyometra Leading to Acute Abdomen

Jong Hee Yoon, M.D., Ji Hoon Kim, M.D.1, Jin Ho Kwak, M.D.1, Gun Moo Choi, M.D.1, Hyuck Jae Jang, M.D.1, Myung Sik Han, M.D.1

Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

1Department of Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.

Corresponding author (cibax@gnah.co.kr)

Received 19 February 2009       Accepted 3 April 2009

Copyright © 2009 The Korean Surgical Society

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.

Keywords: Acute abdomen, Pyometra

Figures and Tables

Fig. 1
Chest x-ray revealed free air in both subphrenic spaces.
jkss-77-279-g001
Fig. 2
Yellowish-gray, thick material is identified in uterine cavity, endometrium is dark gray and eroded.
jkss-77-279-g002

References

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