title: Spontaneous perforation of a pyometra presenting as generalized peritonitis.
abstract: Eleven cases of spontaneous perforation of a pyometra have previously been reported. All were associated with, and probably secondary to, cervical occlusion. A further case is described, but differs in that the cervical canal was patent. In the absence of other possible causes of uterine perforation, the aetiology of the perforation in this case remains uncertain.
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000209:etiology*; D011247:Pregnancy; D013492:Suppuration / Q000150:complications; D014595:Uterine Perforation / Q000150:complications*; D014597:Uterine Rupture / Q000150:complications*