Spontaneous rupture of the uterus associated with pyometra

Parkinson, D. J.; Alderman, Brian

doi:10.1136/pgmj.61.711.73

Cited by 17 publications

(5 citation statements)

References 3 publications

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“…There are only four reported cases of spontaneous rupture of pyometra without an underlying obvious pathology. In two of those cases, as in ours, no cause could be found [1,2]. In the other two cases pyometra followed electrocoagulation for rectal malignancy in one [3] and vaginal surgery in the other after an interval of 18 months.…”

supporting

confidence: 53%

Spontaneous rupture of pyometra

Gita

Jain

Vaid

1995

Intl J Gynecology & Obste

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supporting

confidence: 53%

Spontaneous rupture of pyometra

Gita

Jain

Vaid

1995

Intl J Gynecology & Obste

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“…However, more than 50% of all patients with non-ruptured pyometra are asymptomatic [21] and it is frequently an incidental finding at post-mortem examinations [22]. Spontaneous uterine rupture is rare.…”

Section: Discussionmentioning

confidence: 99%

Rare cause of acute surgical abdomen with free intraperitoneal air: Spontaneous perforated pyometra. A report of 2 cases

et al. 2012

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SummaryBackground:The acute abdomen accounts for up to 40% of all emergency surgical hospital admissions and a large proportion are secondary to gastrointestinal perforation. Studies have shown the superiority of the abdominal CT over upright chest radiographs in demonstrating free intraperitoneal air. Spontaneous perforated pyometra is a rare cause of the surgical acute abdomen with free intraperitoneal air. Only 38 cases have been reported worldwide.Case Report:We report 2 cases of spontaneously perforated pyometra in our hospital’s general surgery department. Both underwent exploratory laparotomy: one had a total hysterectomy and bilateral salpingo-oophorectomy, while the other had an evacuation of the uterine cavity, primary repair of uterine perforation and a peritoneal washout. A literature search was conducted and all reported cases reviewed in order to describe the clinical presentations and management of the condition. Of the 40 cases to date, including 2 of our cases, the most common presenting symptoms were abdominal pain (97.5%), fever (37.5%) and vomiting (25.0%). The main indication for exploratory laparotomy was pneumoperitoneum (97.5%).Conclusions:Pyometra is an unusual but serious condition in elderly women presenting with an acute abdomen. A high index of suspicion is needed to make the appropriate diagnosis.

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“…Other conditions disposing to pyometra are vaginal repair operations [1,2,7], benign tumors of the cervix [1,4], previous radiation of pelvic organs [1,6] or extragenital cancers invading the cervix [1,3,4]. Occasionally no underlying disease can be found [3,7].…”

Section: Discussionmentioning

confidence: 99%