Abstract
This paper presents a rare case of spontaneously perforated pyometra in an 87-year-old woman. The patient visited a nearly doctor because of pain in the stomach. Peritonitis due to perforated appendicitis was suspected and the patient was referred to the hospital. Muscular defense was confirmed in the abdomen with an increase in WBC. A plain X-ray film of the abdomen revealed no free air. On laparotomy, flowed pus and the perforation was found at the fundus of the uterus. A diagnosis of uterus perforation associating with a pyometra was made, and panhysterectomy was performed. Histological examination revealed no evidence of malignancy. The postoperative course was satisfactory and the patient was discharged on the 20th day after the surgery.
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Schedule a callMore From: The journal of the Japanese Practical Surgeon Society
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