An unusual etiology of spontaneous pyometra perforation; a case report.
BACKGROUND
By presenting this case we aimed to describe an uncommon complication of generalized peritonitis following spontaneous pyometra perforation in untreated cervical carcinoma.


METHODS
This report describes a 60-year-old postmenopausal woman presenting with clinical features mimicking intestinal perforation who was later diagnosed as cervical carcinoma with pyometra perforation at exploratory laparotomy. The patient had good post-operative recovery following drainage and peritoneal lavage.


CONCLUSIONS
Spontaneous pyometra perforation in a case of untreated carcinoma of cervix is a rare condition, yet it should be suspected and kept in the differential diagnosis of acute abdomen in elderly women.
Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi, India.
Rachna
R
Agarwal
Amita
A
Suneja
Abha
A
Sharma
Neelam Bala
NB
Vaid
Acute abdomen; Cervical cancer; Perforation; Pyometra