Yildizhan Begüm, Uyar Esra, Sişmanoğlu Alper, Güllüoğlu Gülfem, Kavak Zehra N
Department of Obstetrics and Gynecology, Marmara University Hospital, Faculty of Medicine, Marmara University, Haydarpaşa, Istanbul, Turkey.
Infect Dis Obstet Gynecol. 2006;2006:26786. doi: 10.1155/IDOG/2006/26786.
Pyometra is the accumulation of purulent material in the uterine cavity. Its reported incidence is 0.01-0.5% in gynecologic patients; however, as far as elderly patients are concerned, its incidence is 13.6% [3]. The most common cause of pyometra is malignant diseases of genital tract and the consequences of their treatment (radiotherapy). Other causes are benign tumors like leiomyoma, endometrial polyps, senile cervicitis, cervical occlusion after surgery, puerperal infections, and congenital cervical anomalies. Spontaneous rupture of the uterus is an extremely rare complication of pyometra. To our knowledge, only 21 cases of spontaneous perforation of pyometra have been reported in English literature since 1980. This paper reports an additional case of spontaneous uterine rupture.
子宫积脓是指宫腔内积聚脓性物质。据报道，其在妇科患者中的发病率为0.01%-0.5%；然而，就老年患者而言，其发病率为13.6%[3]。子宫积脓最常见的病因是生殖道恶性疾病及其治疗后果（放疗）。其他病因包括平滑肌瘤、子宫内膜息肉、老年性宫颈炎、手术后宫颈闭塞、产褥期感染和先天性宫颈异常等良性肿瘤。子宫自发破裂是子宫积脓极其罕见的并发症。据我们所知，自1980年以来，英文文献中仅报道了21例子宫积脓自发穿孔的病例。本文报告了另外1例子宫自发破裂的病例。
