Abstract
Perforated gangrene uterus is a rare condition with high mortality rate, which is difficult and unable to diagnose in first instance without specific history. A 48 year old woman P3L3 with normal vaginal deliveries, not tubectomised came with clinical features of perforation with peritonitis and underwent emergency exploratory laparotomy and found perforated gangrene uterus. Total Abdominal Hysterectomy with Salpingectomy done and specimen shows necrosis of the tissue. Awareness of many etiologies for peritonitis is of great importance when a fatal infection may be the cause of the condition. The most common cause of gas gangrene is clostridium perfringens.
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