Spontaneous Uterine Perforation of Pyometra Presenting as Acute Abdomen
Joint Authors
Kitai, Toshihiro
Komoto, Yoshiko
Takemura, Masahiko
Fujimi, Satoshi
Ugaki, Hiromi
Okuno, Kentaro
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-24
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Pyometra is the accumulation of pus in the uterine cavity, and spontaneous perforation of pyometra resulting in generalized diffuse peritonitis is extremely uncommon.
We report a rare case of diffuse peritonitis caused by spontaneous perforation of pyometra.
A 66-year-old postmenopausal woman with diffuse abdominal pain and vomiting was admitted to our institution.
She had a history of mixed connective-tissue disease and had been taking steroids for 20 years.
Under a diagnosis of generalized peritonitis secondary to perforation of the gastrointestinal tract or uterus, supravaginal hysterectomy and bilateral salpingo-oophorectomy were performed.
Unfortunately, wound dehiscence and infection occurred during the postoperative course, which were exacerbated by her immunocompromised state.
Despite intensive care and a course of antibiotics, the patient died of multiple organ failure resulting from sepsis on the 36th postoperative day.
Although correct diagnosis, early intervention, and proper treatment can reduce morbidity and mortality of spontaneous perforation of pyometra, if severe infection occurs, this disease can be life threatening for immunocompromised hosts.
American Psychological Association (APA)
Kitai, Toshihiro& Okuno, Kentaro& Ugaki, Hiromi& Komoto, Yoshiko& Fujimi, Satoshi& Takemura, Masahiko. 2014. Spontaneous Uterine Perforation of Pyometra Presenting as Acute Abdomen. Case Reports in Obstetrics and Gynecology،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-494784
Modern Language Association (MLA)
Kitai, Toshihiro…[et al.]. Spontaneous Uterine Perforation of Pyometra Presenting as Acute Abdomen. Case Reports in Obstetrics and Gynecology No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-494784
American Medical Association (AMA)
Kitai, Toshihiro& Okuno, Kentaro& Ugaki, Hiromi& Komoto, Yoshiko& Fujimi, Satoshi& Takemura, Masahiko. Spontaneous Uterine Perforation of Pyometra Presenting as Acute Abdomen. Case Reports in Obstetrics and Gynecology. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-494784
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-494784