Spontaneous Rupture of Pyometra Causing Peritonitis in Elderly Female Diagnosed on Dynamic Transvaginal Ultrasound
Joint Authors
Malvadkar, Sharad M.
Malvadkar, Madhuri S.
Domkundwar, Shilpa V.
Mohd, Shariq
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-18
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Pyometra is collection of pus within the uterine cavity and is usually associated with underlying gynaecological malignancy or other benign causes.
Spontaneous rupture of pyometra is a rare complication.
We report a case of a 65-year-old female who presented with acute abdomen and was diagnosed with a ruptured uterus secondary to pyometra and consequent peritonitis on dynamic transvaginal sonography (TVS) which was later confirmed on contrast enhanced computed tomography (CECT).
An emergency laparotomy was performed and about 800 cc of pus was drained from the peritoneal cavity.
A rent was found in the anterior uterine wall and hence hysterectomy was performed.
Histopathology revealed mixed inflammatory cell infiltrate with no evidence of malignancy.
There are only 31 cases of ruptured pyometra reported till date, most of which were definitively diagnosed only on laparotomy.
In only two of these cases the preoperative diagnosis was made on CECT.
We report this case, as the correct and definitive diagnosis was made preoperatively on dynamic TVS.
To our knowledge, this is the first case report revealing spontaneous ruptured pyometra being diagnosed preoperatively on dynamic TVS.
This report is aimed at giving emphasis on the use of simple dynamic TVS for accurate diagnosis of rare spontaneous ruptured pyometra causing peritonitis.
American Psychological Association (APA)
Malvadkar, Sharad M.& Malvadkar, Madhuri S.& Domkundwar, Shilpa V.& Mohd, Shariq. 2016. Spontaneous Rupture of Pyometra Causing Peritonitis in Elderly Female Diagnosed on Dynamic Transvaginal Ultrasound. Case Reports in Radiology،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102572
Modern Language Association (MLA)
Malvadkar, Sharad M.…[et al.]. Spontaneous Rupture of Pyometra Causing Peritonitis in Elderly Female Diagnosed on Dynamic Transvaginal Ultrasound. Case Reports in Radiology No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1102572
American Medical Association (AMA)
Malvadkar, Sharad M.& Malvadkar, Madhuri S.& Domkundwar, Shilpa V.& Mohd, Shariq. Spontaneous Rupture of Pyometra Causing Peritonitis in Elderly Female Diagnosed on Dynamic Transvaginal Ultrasound. Case Reports in Radiology. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102572
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1102572