Abstract
Spontaneous uterine rupture and generalized peritonitis caused by pyometra occurs rarely with high morbidity and mortality. A correct and definite diagnosis can be made with laparotomy or laparoscopy. The clinical findings of perforated pyometra are similar to perforation of the gastrointestinal tract and gynecologic symptoms are less frequent, which makes preoperative diagnosis difficult. We report a case of a patient aged 82 years who underwent surgery for spontaneous uterine rupture and generalized peritonitis as a result of pyometra.
Highlights
Pyometra is purulent fluid accumulation inside the uterine cavity as a consequence of impaired drainage(1)
Spontaneous uterine rupture and generalized peritonitis caused by pyometra occurs rarely, approximately 50 cases have been reported in the literature to date
We present a patient aged 82 years old, who underwent surgery for spontaneous uterine rupture and generalized peritonitis as a result of pyometra
Summary
Pyometra is purulent fluid accumulation inside the uterine cavity as a consequence of impaired drainage(1). Pyometra is a rare disease seen in 0.1-0.2% of all gynecologic cases, it is more common in the elderly (13.6%)(2). Spontaneous uterine rupture and generalized peritonitis caused by pyometra occurs rarely, approximately 50 cases have been reported in the literature to date. We present a patient aged 82 years old, who underwent surgery for spontaneous uterine rupture and generalized peritonitis as a result of pyometra. The patient developed multiorgan failure and died on the second post operative day
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