Pyometra is the accumulation of purulent material in the uterine cavity. Its reported incidence is 0.01e0.5% in gynecologic patients; however, as far as elderly patients are concerned, its incidence is 13.6%. 1 We report an original case report of an unusual presentation of carcinoma cervix presenting as acute peritonitis. Spontaneous rupture of carcinoma cervix associated pyometra resulting in peritonitis is an extremely rare complication with only 7 cases reported till date including the present case is reviewed.
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