Spontaneous uterine perforation of pyometra presented as an acute abdomen: A case report.

Jeon, Hyun Soo; Shin, Hyun Jun; Kim, Ick Hee; Chung, Hong; Chung, Doo Yong

doi:2012.55.6.437

Obstet Gynecol Sci > Volume 55(6); 2012 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(6):437-440.
DOI: https://doi.org/10.5468/KJOG.2012.55.6.437 Published online June 16, 2012.

Spontaneous uterine perforation of pyometra presented as an acute abdomen: A case report.

Hyun Soo Jeon, Hyun Jun Shin, Ick Hee Kim, Hong Chung, Doo Yong Chung

¹Department of Obstetrics and Gynecology, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea. dychung@kku.ac.kr
²Department of Radiology, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea.
³Department of Surgery, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea.
⁴Department of Urology, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea.

Abstract

Pyometra is an uncommon condition in general population and caused by impairment of natural drainage of the cervix as a result of benign or malignant diseases. Spontaneous uterine perforation, a very rare complication of pyometra, carries significant morbidity and mortality and should be considered in the differential diagnosis of other peritonitis. Preoperative diagnosis of perforated pyometra is difficult due to old age, poor general condition, and symptoms that present as abdominal pain related to gastrointestinal diseases. If a diagnosis of perforated pyometra is delayed, then it will be associated with increased morbidity and mortality. In the causes of uterine perforation, pyometra should be considered because of requiring proper intervention. A diagnosis of spontaneous perforated pyometra should always be kept as a possibility in all cases of abdominal pains associated with peritonitis in elderly women.

Key Words: Spontaneous uterine perforation, Pyometra, Peritonitis