title: Spontaneous rupture of the non-gravid uterus.
abstract: A 71-year-old woman presents with acute onset abdominal pain with sepsis. Initial workup with an abdominal CT scanning revealed intraperitoneal air with an enlarged uterus and thickened small bowel loops. Haemodynamic instability with sepsis prompted urgent laparotomy. At laparotomy, spontaneous perforation of the uterus was identified. The cause was due to infarction of the myometrium. This occurred on a background of not having any previous instrumentation of the uterus.
authors.affiliation: Royal Perth Hospital, Perth, Western Australia, Australia. Dleong87@gmail.com
authors.forename: Leong Chee
authors.initials: LC
authors.lastname: Weng
authors.forename: Tulsi
authors.initials: T
authors.lastname: Menon
authors.forename: Graham
authors.initials: G
authors.lastname: Hool
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology / Q000601:surgery; D000368:Aged; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007238:Infarction / Q000150:complications*; D009215:Myometrium / Q000098:blood supply*; D014597:Uterine Rupture / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery