Generalized Peritonitis Secondary to Spontaneous Perforation of Pyometra in a 63-Year-Old Patient
Joint Authors
Nazer, Ahmed
Abu-Zaid, Ahmed
Abudan, Zainab
Azzam, Ayman
al-Badawi, Ismail A.
AlOmar, Osama
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-08-29
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Spontaneous perforation of pyometra resulting in generalized diffuse peritonitis is extremely uncommon.
Herein, we report the case of a 63-year-old woman who presented to emergency department with a 2-day history of severe diffuse abdominal pain, high-grade fever, nausea, and vomiting.
Acute abdomen series was done, and upright plain chest radiograph showed free air under diaphragm.
A noncontrast-enhanced computed tomography scan showed a significantly distended fluid-filled uterus measuring 10 × 7.8 × 10 cm, in addition to a single focus of perforation involving the uterine fundus and associated with presence of free air within the nondependant area.
No evidence of ascites or pelvi-abdominal lymphadenopathy was identified.
A preoperative diagnosis of generalized peritonitis secondary to spontaneous perforation of uterus was established.
Subsequently, patient underwent urgent exploratory laparotomy which revealed pus-filled uterus with perforated fundus.
Diagnosis of generalized peritonitis secondary to spontaneous perforation of pyometra was established.
Consequently, patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy, as well as thorough drainage and irrigation of pelvi-abdominal cavity.
Postoperatively, patient was admitted to intensive care unit.
Histopathological examination of uterus was negative for malignancy, and surgical culture grew Streptococcus constellatus.
Patient had an uneventful recovery.
Moreover, a brief literature review on pyometra is presented.Erratum to “Generalized Peritonitis Secondary to Spontaneous Perforation of Pyometra in a 63-Year-Old Patient”dx.doi.org/10.1155/2014/180867
American Psychological Association (APA)
Abu-Zaid, Ahmed& AlOmar, Osama& Nazer, Ahmed& Azzam, Ayman& Abudan, Zainab& al-Badawi, Ismail A.. 2013. Generalized Peritonitis Secondary to Spontaneous Perforation of Pyometra in a 63-Year-Old Patient. Case Reports in Obstetrics and Gynecology،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-508980
Modern Language Association (MLA)
Abu-Zaid, Ahmed…[et al.]. Generalized Peritonitis Secondary to Spontaneous Perforation of Pyometra in a 63-Year-Old Patient. Case Reports in Obstetrics and Gynecology No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-508980
American Medical Association (AMA)
Abu-Zaid, Ahmed& AlOmar, Osama& Nazer, Ahmed& Azzam, Ayman& Abudan, Zainab& al-Badawi, Ismail A.. Generalized Peritonitis Secondary to Spontaneous Perforation of Pyometra in a 63-Year-Old Patient. Case Reports in Obstetrics and Gynecology. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-508980
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-508980