Publication: Spontaneous perforation of pyometra in an elderly woman: A case report
Issued Date
2012-05-01
Resource Type
ISSN
01252208
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2-s2.0-84863910702
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.95, No.5 (2012), 723-726
Suggested Citation
Pattama Chaopotong, Mongkol Benjapibal, Manopchai Thamkhantho Spontaneous perforation of pyometra in an elderly woman: A case report. Journal of the Medical Association of Thailand. Vol.95, No.5 (2012), 723-726. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/14819
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Title
Spontaneous perforation of pyometra in an elderly woman: A case report
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Abstract
Pyometra is an uncommon gynecologic condition that usually develops in elderly women. Most of the cases result from cervical occlusion by malignant or benign tumors, surgery, radiotherapy, or atrophic cervicitis. A spontaneous perforation of the uterus with generalized peritonitis is an extremely rare complication of pyometra and carries significant morbidity and mortality. Establishing a correct diagnosis preoperatively is not easy due to the non-specificity of the symptoms. The authors present a case report of peritonitis caused by spontaneously perforated pyometra that was diagnosed intraoperatively. The cervical canal was not occluded and the cause of perforation remains obscure.