A rare case of gas under diaphragm due to spontaneous  perforation of uterus  due to gas gangrene of uterus with clostridium perfringens infection  presenting as intestinal perforation

Harika, D. Navya Sesha; Rao, T. Uma Maheswara; Sireesha, Psnrs; Jithendra, D.; Pandu, Satya Sundeep

doi:10.18203/2349-2902.isj20193362

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…Uterine perforation causes severe morbidity and mortality, and requires prompt management which can improve outcomes. [6] We report a case of a 64-year-old postmenopausal multiparous woman with pneumoperitoneum due to uterine perforation caused by gangrenous anterior uterine wall.…”

Section: Introductionmentioning

confidence: 98%

Pneumoperitoneum Due to Spontaneous Uterine Perforation Caused by Pyometra – A Rare Finding and a Diagnostic Challenge

2024

IJFMR

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Background: Spontaneous perforation of uterus resulting in generalized peritonitis in postmenopausal women is a very rare entity usually caused by pyometra and is associated with high morbidity and mortality. The clinical picture of uterine perforation secondary to pyometra are similar to hollow viscus perforation which makes preoperative diagnosis difficult. A correct and definitive diagnosis can be made with laparotomy or laparoscopy. Case: We report a case of 64-years-old female patient who presented with pain abdomen and distension and inability to pass flatus/motion with signs suggestive of acute generalised peritonitis and genital prolapse with pneumoperitoneum underwent Total Abdominal Hysterectomy with bilateral salpingo-oophorectomy. Results: Despite the surgical intervention, Total Abdominal Hysterectomy with bilateral salpingo-oophorectomy and use of several antibiotics, this patient did not improve and died post-operatively. Conclusions: This case report aim for awareness of the many etiologies for peritonitis is of great importance and to alert the surgeons to the possibility that uterine perforation secondary to pyometra also shows air under diaphragm apart from hollow viscus perforation. Correct diagnosis and proper treatment are essential for survival of patients.

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Section: Introductionmentioning

confidence: 98%

Pneumoperitoneum Due to Spontaneous Uterine Perforation Caused by Pyometra – A Rare Finding and a Diagnostic Challenge

2024

IJFMR

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“…Pyometra develops gradually and with progression it will lead to enlargement the uterus, causing degenerative changes that may rarely lead to sloughing of the uterine wall with subsequent spillage of contents into the abdominal cavity. 3 Mostly uterine perforation presents at fundus but may occur anteriorly or posteriorly [4]. Pyometra with accompanying necrosis of the uterine wall can lead to spontaneous uterine perforation with diffuse peritonitis, a rare complication with a reported incidence of 0.01-0.05%.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous uterine perforation presenting as acute abdomen: a diagnostic challenge

Niraj Gupta,

Shelja Rawat,

Nitin Verma

et al. 2023

Int Surg J

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Spontaneous uterine perforation resulting in generalized peritonitis in postmenopausal women is a very rare entity usually caused by pyometra and is associated with high morbidity and mortality. The clinical picture of uterine perforation secondary to pyometra are similar to hollow viscus perforation which makes preoperative diagnosis difficult. Definitive diagnosis can be made with laparotomy or laparoscopy. We report a case of 62 years old female patient who presented with acute generalized peritonitis with pneumoperitoneum having history of pigtail insertion right kidney for right non-functional kidney with gross hydronephrosis two days back, which was more complicating the clinical picture. This case report aims to alert surgeons to the possibility that uterine perforation secondary to pyometra also shows air under diaphragm apart from hollow viscus perforation.

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A rare case of gas under diaphragm due to spontaneous perforation of uterus due to gas gangrene of uterus with clostridium perfringens infection presenting as intestinal perforation

Cited by 2 publications

References 7 publications

Pneumoperitoneum Due to Spontaneous Uterine Perforation Caused by Pyometra – A Rare Finding and a Diagnostic Challenge

Pneumoperitoneum Due to Spontaneous Uterine Perforation Caused by Pyometra – A Rare Finding and a Diagnostic Challenge

Spontaneous uterine perforation presenting as acute abdomen: a diagnostic challenge

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