Pattama ChaopotongMongkol BenjapibalManopchai ThamkhanthoMahidol University2018-06-112018-06-112012-05-01Journal of the Medical Association of Thailand. Vol.95, No.5 (2012), 723-726012522082-s2.0-84863910702https://repository.li.mahidol.ac.th/handle/20.500.14594/14819Pyometra 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.Mahidol UniversityMedicineArticleSCOPUS