title: Spontaneous rupture of pyometra.
abstract: Spontaneous perforation is a very rare complication of pyometra. The clinical findings of perforated pyometra are similar to perforation of the gastrointestinal tract and other causes of acute abdomen. In most cases, a correct and definite diagnosis can be made only by laparotomy. We report two cases of diffuse peritonitis caused by spontaneous perforated pyometra. The first case is a 78-year-old woman with abdominal pain for which laparotomy was performed because of suspected incarcerated hernia. The second case is a 61-year-old woman with abdominal pain for which laparotomy was performed because of symptoms of peritonitis. At laparotomy of both cases, 1 liter of pus with the source of uterine was found in the abdominal cavity. The ruptured uterine is also detected. More investigations revealed no malignancy as the reason of the pyometra.
authors.affiliation: Departments of Obstetrics and Gynecology, Valiasr Hospital, Tehran University of Medical Sciences, Tehran 1419733141, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Mallah
authors.forename: Tahere
authors.initials: T
authors.lastname: Eftekhar
authors.forename: Mohammad
authors.initials: M
authors.lastname: Naghavi-Behzad
references.citation: J Obstet Gynaecol. 2006 Jan;26(1):76-7
references.pmid: 16390724
references.citation: J Am Geriatr Soc. 2001 Jan;49(1):95-6
references.pmid: 11207850
references.citation: J Reprod Med. 2001 Nov;46(11):952-6
references.pmid: 11762150
references.citation: Medscape J Med. 2008 Jan 22;10(1):15
references.pmid: 18324325
references.citation: Jpn J Infect Dis. 2008 Nov;61(6):477-8
references.pmid: 19050359
references.citation: Infect Dis Obstet Gynecol. 2006;2006:60276
references.pmid: 17485806
references.citation: Int J Gynaecol Obstet. 2006 Feb;92(2):145-6
references.pmid: 16325818
references.citation: Taiwan J Obstet Gynecol. 2007 Dec;46(4):439-41
references.pmid: 18182356
references.citation: Med Ultrason. 2013 Sep;15(3):191-8
references.pmid: 23979614