title: Spontaneous Perforation of Pyometra.
abstract: Pyometra is collection of purulent material which occurs when there is interference with its normal drainage. It is an uncommon condition with incidence of 0.1 to 0.5% of all gynecological patients. Spontaneous rupture of uterus is an extremely rare complication of pyometra. A 65-year-old lady presented with pain abdomen and purulent vaginal discharge. Preoperative diagnosis of pyometra was made by magnetic resonance imaging (MRI). Laparotomy followed by peritoneal lavage and repair of perforation was performed. Although spontaneously perforated pyometra is rare, the condition must be borne in mind with regard to elderly women with acute abdominal pain. Preoperative diagnosis of perforated pyometra is absolutely essential. Computed tomography (CT) and MRI are diagnostic tools. In selected cases conservative approach at surgery can be opted.
authors.affiliation: Department of Obstetrics and Gynaecologym, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.
authors.forename: Nalini
authors.initials: N
authors.lastname: Sharma
authors.affiliation: Department of Obstetrics and Gynaecology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.
authors.forename: Ahanthem Santa
authors.initials: AS
authors.lastname: Singh
authors.affiliation: Department of Radiology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.
authors.forename: Wankhar
authors.initials: W
authors.lastname: Bhaphiralyne
keywords: Peritonitis; Postmenopause; Pyometra; Spontaneous uterine perforation