Spontaneous perforation of pyometra due to acute necrotising endometritis

Stunell, Helen; Hou, Daorui; Finlayson, Sarah; Harris, A.C.

doi:10.3109/01443615.2011.598969

Cited by 8 publications

(7 citation statements)

References 5 publications

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“…In cervical cancer, generalized peritonitis due to pyometra is extremely rare and only four cases have been reported ( 9 ). A possible diagnosis in the elderly women with an acute abdomen, especially with underling of genital malignancy, should be considered ( 10 ). In most cases, spontaneously perforated pyometra has been diagnosed intra-operatively.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Uterine Perforation Caused by Pyometra: A Case Report

Yousefi¹,

Sharifi²,

Maryam³

2014

Iran Red Crescent Med J

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Introduction:Pyometra is an accumulation of purulent material or pus in the uterine cavity. Spontaneous perforation of uterus by pyometra is rare. This is a clinical presentation and management of a spontaneous perforation of uterine caused by pyometra.Case Presentation:This is a case report on spontaneously perforated associated with pyometra secondary to cervical malignancy. The patient underwent exploratory laparotomy with total hysterectomy and bilateral salpingo-oophorectomy.Conclusions:Spontaneous rupture of pyometra duo to cervical cancer in cases of acute abdomen in elderly patients should be considered.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Uterine Perforation Caused by Pyometra: A Case Report

Yousefi¹,

Sharifi²,

Maryam³

2014

Iran Red Crescent Med J

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“…Spontaneous uterine rupture is rare. Only 38 cases of spontaneous perforation of pyometra have been reported [15–18], of which 36 have been included in the reviews by Yildizhan et al and Ou et al Ou et al had the largest number of reported patients with spontaneous perforation of pyometra treated in a single centre to date, where out of the 20 women with pyometra, 6 were perforated [16]. …”

Section: Discussionmentioning

confidence: 99%

“…A review of all cases was performed including the reviews by Yildizhan et al [15] and Ou et al [16] and we found an additional 2 cases of spontaneously perforated pyometra [17,18]. Only 38 cases of spontaneously perforated pyometra have been reported.…”

Section: Introductionmentioning

confidence: 95%

Rare cause of acute surgical abdomen with free intraperitoneal air: Spontaneous perforated pyometra. A report of 2 cases

et al. 2012

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SummaryBackground:The acute abdomen accounts for up to 40% of all emergency surgical hospital admissions and a large proportion are secondary to gastrointestinal perforation. Studies have shown the superiority of the abdominal CT over upright chest radiographs in demonstrating free intraperitoneal air. Spontaneous perforated pyometra is a rare cause of the surgical acute abdomen with free intraperitoneal air. Only 38 cases have been reported worldwide.Case Report:We report 2 cases of spontaneously perforated pyometra in our hospital’s general surgery department. Both underwent exploratory laparotomy: one had a total hysterectomy and bilateral salpingo-oophorectomy, while the other had an evacuation of the uterine cavity, primary repair of uterine perforation and a peritoneal washout. A literature search was conducted and all reported cases reviewed in order to describe the clinical presentations and management of the condition. Of the 40 cases to date, including 2 of our cases, the most common presenting symptoms were abdominal pain (97.5%), fever (37.5%) and vomiting (25.0%). The main indication for exploratory laparotomy was pneumoperitoneum (97.5%).Conclusions:Pyometra is an unusual but serious condition in elderly women presenting with an acute abdomen. A high index of suspicion is needed to make the appropriate diagnosis.

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“…The cervical occlusion may be caused by malignant or benign tumors, radiation cervicitis, atrophic cervicitis, infection, or congenital anomalies [3,4]. The compromised drainage causes accumulation of secretions that may become infected and result in pyometra.…”

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confidence: 99%

“…The compromised drainage causes accumulation of secretions that may become infected and result in pyometra. Spontaneous perforation of the uterus may occur at a site of degenerative or necrotic change following development of pyometra and can cause generalized peritonitis [3].…”

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confidence: 99%