title: Sealed-off spontaneous perforation of a pyometra diagnosed preoperatively by magnetic resonance imaging: a case report.
abstract: Spontaneous perforation is a very rare complication of pyometra. The clinical findings of perforated pyometra usually mimic perforation of the gastrointestinal tract. In most cases a correct diagnosis can be made only by laparotomy. In our case, the patient's pyometra was sealed and she complained only of mild abdominal pain and showed no signs of peritonitis. Ultrasonography and computed tomography (CT) findings were not suggestive of uterine rupture. However, T2-weighted magnetic resonance imaging (MRI) demonstrated a full thickness defect of the myometrium. We discuss the CT and MRI findings that confirmed a correct diagnosis of perforated pyometra.
authors.affiliation: Department of Obstetrics and Gynecology, Chonbuk National University Medical School, Jeonju, South Korea.
authors.forename: Jonghyun
authors.initials: J
authors.lastname: Kim
authors.forename: Dong-Hyu
authors.initials: DH
authors.lastname: Cho
authors.forename: Young-Kon
authors.initials: YK
authors.lastname: Kim
authors.forename: Jeong-Heon
authors.initials: JH
authors.lastname: Lee
authors.forename: Young-Ju
authors.initials: YJ
authors.lastname: Jeong
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology; D000369:Aged, 80 and over; D003287:Contrast Media; D019160:Endosonography / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods*; D055112:Pyometra / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014595:Uterine Perforation / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*
chemical_list: D003287:Contrast Media