Spontaneous Perforation of Pyometra.
- Author:
Nalini SHARMA
1
;
Ahanthem Santa SINGH
;
Wankhar BHAPHIRALYNE
Author Information
- Publication Type:Case Report
- Keywords: Peritonitis; Postmenopause; Pyometra; Spontaneous uterine perforation
- MeSH: Abdomen; Abdominal Pain; Aged; Diagnosis; Drainage; Female; Humans; Incidence; Laparotomy; Magnetic Resonance Imaging; Peritoneal Lavage; Peritonitis; Postmenopause; Pyometra*; Rupture, Spontaneous; Uterus; Vaginal Discharge
- From:Journal of Menopausal Medicine 2016;22(1):47-49
- CountryRepublic of Korea
- Language:English
- Abstract: Pyometra is collection of purulent material which occurs when there is interference with its normal drainage. It is an uncommon condition with incidence of 0.1 to 0.5% of all gynecological patients. Spontaneous rupture of uterus is an extremely rare complication of pyometra. A 65-year-old lady presented with pain abdomen and purulent vaginal discharge. Preoperative diagnosis of pyometra was made by magnetic resonance imaging (MRI). Laparotomy followed by peritoneal lavage and repair of perforation was performed. Although spontaneously perforated pyometra is rare, the condition must be borne in mind with regard to elderly women with acute abdominal pain. Preoperative diagnosis of perforated pyometra is absolutely essential. Computed tomography (CT) and MRI are diagnostic tools. In selected cases conservative approach at surgery can be opted.
