Spontaneous Perforation of Pyometra : A Case Report

Pyometra is the accumulation of purulent material in the uterine cavity. Its reported incidence is 0.01–0.5% in gynecologic patients; however, as far as elderly patients are concerned, its incidence is 13.6% [3]. The most common cause of pyometra is malignant diseases of genital tract and the consequences of their treatment (radiotherapy). Other causes are benign tumors like leiomyoma, endometrial polyps, senile cervicitis, cervical occlusion after surgery, puerperal infections, and congenital cervical anomalies. Spontaneous rupture of the uterus is an extremely rare complication of pyometra. To our knowledge, only 21 cases of spontaneous perforation of pyometra have been reported in English literature since 1980. This paper reports an additional case of spontaneous uterine rupture.

[1]  H. Iwagaki,et al.  Generalized peritonitis due to spontaneously perforated pyometra presenting as pneumoperitoneum: Report of a case , 2010, Surgery Today.

[2]  Hajime Tanaka,et al.  Generalized peritonitis with pneumoperitoneum caused by the spontaneous perforation of pyometra without malignancy: Report of a case , 2006, Surgery Today.

[3]  K. Rasmussen,et al.  Perforation of a pyometra mimicking a perforated peptic ulcer , 1991, Archives of Gynecology and Obstetrics.

[4]  T. Lau,et al.  Pyometra. What is its clinical significance? , 2001, The Journal of reproductive medicine.

[5]  T. Yasutomi,et al.  Spontaneously perforated pyometra presenting as diffuse peritonitis in older females at nursing homes , 2001, Journal of the American Geriatrics Society.

[6]  L. Chan,et al.  Spontaneous uterine perforation of pyometra. A report of three cases. , 2000, The Journal of reproductive medicine.

[7]  L. Tan,et al.  Spontaneous uterine perforation from uterine infarction: a rare case of acute abdomen , 2000, The Australian & New Zealand journal of obstetrics & gynaecology.

[8]  Y. Kamohara,et al.  Spontaneous perforated pyometra presenting as pneumoperitoneum. , 1996, Gynecologic and obstetric investigation.

[9]  N. Hatano,et al.  OCCASIONAL REVIEW: Spontaneous Uterine Perforation as a Serious Complication of Pyometra in Elderly Females , 1995, The Australian & New Zealand journal of obstetrics & gynaecology.

[10]  K. Matsuo,et al.  Spontaneous perforation of pyometra presenting as generalized peritonitis in a patient with cervical cancer. , 1993, Gynecologic oncology.

[11]  C. Boyd,et al.  Pneumoperitoneum and an acute abdominal condition caused by spontaneous perforation of a pyometra in an elderly woman: a case report. , 1989, Surgery.

[12]  S. Wilkinson,et al.  Generalized Peritonitis Due to Spontaneous Rupture of Pyometra , 1989, The Australian & New Zealand journal of obstetrics & gynaecology.

[13]  T. Elkins,et al.  Spontaneous rupture of pyometra due to leiomyomata. A case report. , 1986, The Journal of reproductive medicine.

[14]  S. W. Hosking.  Spontaneous perforation of a pyometra presenting as generalized peritonitis. , 1985, Postgraduate medical journal.

[15]  D. Parkinson,et al.  Spontaneous rupture of the uterus associated with pyometra. , 1985, Postgraduate medical journal.

[16]  J. Lindholt,et al.  Spontaneously perforated pyometra. A differential diagnosis in acute abdomen. , 1985, Annales chirurgiae et gynaecologiae.

[17]  D. Sturdee,et al.  Spontaneous rupture of pyometra. , 1982, Journal of the Royal College of Surgeons of Edinburgh.

[18]  E. Bostofte,et al.  SPONTANEOUS PERFORATION OF PYOMETRA WITH DIFFUSE PERITONITIS , 1981, Acta obstetricia et gynecologica Scandinavica.