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Case ReportOpen Access

Spontaneous Perforation of Pyometra in an Elderly Woman: A Case Report

Chaopotong P , Benjapibal M , Thamkhantho M

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Chaopotong P, Benjapibal M, Thamkhantho M. Spontaneous Perforation of Pyometra in an Elderly Woman: A Case Report. J Med Assoc Thai 2012;95:723.

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.

Keywords: Elderly women, Mortality, Peritonitis, Pyometra, Spontaneous perforation

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