title: Spontaneous uterine perforation caused by pyometra: a case report.
abstract: BACKGROUND
  Pyometra is an accumulation of purulent material or pus in the uterine cavity. Spontaneous perforation of uterus by pyometra is rare. This is a clinical presentation and management of a spontaneous perforation of uterine caused by pyometra.
  
  
  METHODS
  This is a case report on spontaneously perforated associated with pyometra secondary to cervical malignancy. The patient underwent exploratory laparotomy with total hysterectomy and bilateral salpingo-oophorectomy.
  
  
  CONCLUSIONS
  Spontaneous rupture of pyometra duo to cervical cancer in cases of acute abdomen in elderly patients should be considered.
authors.affiliation: Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Zohreh
authors.initials: Z
authors.lastname: Yousefi
authors.affiliation: Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Noorieh
authors.initials: N
authors.lastname: Sharifi
authors.affiliation: Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Morshedy
keywords: Acute Abdomen; Postmenopause; Pyometra; Uterine Perforation