Spontaneous perforation of pyometra; a rare cause of acute abdomen: report of a case

Spontaneous Perforation of Pyometra; a Rare Cause of Acute Abdomen: Report of a Case

Abstract

Spontaneous perforation of pyometra; a rare cause of acute abdomen: report of a casePyometra is defined as pooling of purulent material in the uterine cavity. We report a perforated pyometra presented with acute abdomen who was initially diagnosed as gastrointestinal perforation. A 68 year old woman was admitted as an emergency having developed sudden lower abdominal pain. Plain abdominal X-ray revealed free air in the peritoneal cavity. At laparotomy, enlarged perforated uterus of 12x7x4 cm in size was revealed. Hysterectomy and bilateral salpingooophorectomy was performed. Postoperative period was uneventful. Patient was discharged at thirteenth day. Although rare, perforation of pyometra should be considered in the differential diagnosis in an elderly woman with an acute abdomen

Özet

Spontan pyometra perforasyonu; nadir bir akut karın sebebi: Olgu sunumuPyometra uterus kavitesi içinde pürülan materyal bulunmasıdır. Bu yazıda gastrointestinal perforasyon olarak düşünülen, akut batına sebep olan perfore pyometra olgusu sunulmaktadır. Altmış sekiz yaşında kadın hasta ani başlayan alt karın ağrısı nedeni ile acil servise başvurdu. Düz karın grafisinde peritoneal kavitede serbest hava mevcuttu. Laparotomide 12x7x4 cm perfore uterus tespit edildi. Histerektomi, bilateral salpingooferektomi uygulandı. Postoperative period sorunsuz geçen hasta 13. günde taburcu edildi. Nadir olmasına rağmen akut abdomen bulguları olan yaşlı kadın hastalarda pyometra perforasyonu ayırıcı tanıda düşünülmelidir