Spontaneous Uterine Perforation of Pyometra Presenting as Acute Abdomen
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 d...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2014/738568 |
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| author | Toshihiro Kitai Kentaro Okuno Hiromi Ugaki Yoshiko Komoto Satoshi Fujimi Masahiko Takemura |
| author_facet | Toshihiro Kitai Kentaro Okuno Hiromi Ugaki Yoshiko Komoto Satoshi Fujimi Masahiko Takemura |
| author_sort | Toshihiro Kitai |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-16804cada59e4ab19a189cb7e1314170 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-16804cada59e4ab19a189cb7e13141702025-02-03T01:27:31ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/738568738568Spontaneous Uterine Perforation of Pyometra Presenting as Acute AbdomenToshihiro Kitai0Kentaro Okuno1Hiromi Ugaki2Yoshiko Komoto3Satoshi Fujimi4Masahiko Takemura5Departments of Obstetrics and Gynecology, Osaka General Medical Center, 3-1-56 Bandaihigashi, Sumiyoshi-ku, Osaka 558-0056, JapanDepartments of Obstetrics and Gynecology, Osaka General Medical Center, 3-1-56 Bandaihigashi, Sumiyoshi-ku, Osaka 558-0056, JapanDepartments of Obstetrics and Gynecology, Osaka General Medical Center, 3-1-56 Bandaihigashi, Sumiyoshi-ku, Osaka 558-0056, JapanDepartments of Obstetrics and Gynecology, Osaka General Medical Center, 3-1-56 Bandaihigashi, Sumiyoshi-ku, Osaka 558-0056, JapanDepartments of Emergency and Critical Care, Osaka General Medical Center, 3-1-56 Bandaihigashi, Sumiyoshi-ku, Osaka 558-0056, JapanDepartments of Obstetrics and Gynecology, Osaka General Medical Center, 3-1-56 Bandaihigashi, Sumiyoshi-ku, Osaka 558-0056, JapanPyometra 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.http://dx.doi.org/10.1155/2014/738568 |
| spellingShingle | Toshihiro Kitai Kentaro Okuno Hiromi Ugaki Yoshiko Komoto Satoshi Fujimi Masahiko Takemura Spontaneous Uterine Perforation of Pyometra Presenting as Acute Abdomen Case Reports in Obstetrics and Gynecology |
| title | Spontaneous Uterine Perforation of Pyometra Presenting as Acute Abdomen |
| title_full | Spontaneous Uterine Perforation of Pyometra Presenting as Acute Abdomen |
| title_fullStr | Spontaneous Uterine Perforation of Pyometra Presenting as Acute Abdomen |
| title_full_unstemmed | Spontaneous Uterine Perforation of Pyometra Presenting as Acute Abdomen |
| title_short | Spontaneous Uterine Perforation of Pyometra Presenting as Acute Abdomen |
| title_sort | spontaneous uterine perforation of pyometra presenting as acute abdomen |
| url | http://dx.doi.org/10.1155/2014/738568 |
| work_keys_str_mv | AT toshihirokitai spontaneousuterineperforationofpyometrapresentingasacuteabdomen AT kentarookuno spontaneousuterineperforationofpyometrapresentingasacuteabdomen AT hiromiugaki spontaneousuterineperforationofpyometrapresentingasacuteabdomen AT yoshikokomoto spontaneousuterineperforationofpyometrapresentingasacuteabdomen AT satoshifujimi spontaneousuterineperforationofpyometrapresentingasacuteabdomen AT masahikotakemura spontaneousuterineperforationofpyometrapresentingasacuteabdomen |