title: Spontaneous perforation of pyometra presented as an acute abdomen: a case report.
abstract: Spontaneous perforation of pyometra is a rare pathologic condition that presents as diffuse peritonitis. This report describes an interesting case of spontaneous uterine perforation that mimicked gut perforation clinically and was finally diagnosed at exploratory laparotomy. Although rare, perforation of pyometra should be kept as one of the differential diagnosis in an elderly woman with an acute abdomen. A high index of suspicion is required to make a correct preoperative diagnosis, which allows early intervention, thus reducing morbidity and mortality.
authors.affiliation: Department of Obstetrics and Gynecology, Government Medical College and Hospital, sec-32B, Chandigarh, Pin-160030, India. pklekha@rediffmail.com
authors.forename: Pradip Kumar
authors.initials: PK
authors.lastname: Saha
authors.forename: Pratiksha
authors.initials: P
authors.lastname: Gupta
authors.forename: Reeti
authors.initials: R
authors.lastname: Mehra
authors.forename: Poonam
authors.initials: P
authors.lastname: Goel
authors.forename: Anju
authors.initials: A
authors.lastname: Huria
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology* / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications* / Q000473:pathology*; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000150:complications / Q000473:pathology; D014595:Uterine Perforation / Q000150:complications* / Q000473:pathology*