Raymond Benjamin A, Esper Christopher
Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Case Rep Obstet Gynecol. 2017;2017:5213123. doi: 10.1155/2017/5213123. Epub 2017 Mar 5.
Pyometra, by definition, is a collection of purulent fluid within the uterine cavity. Incidence has been estimated to range from 0.1% to 0.5%. Typically, this is linked to postmenopausal women; however, it has been linked to premenopausal women with concordant use of intrauterine devices. Based on our knowledge, there have been less than 50 recorded cases reported in the English literature regarding perforation of pyometra resulting in acute abdomen and fewer than 25 resulting in pneumoperitoneum. We report a patient who was evaluated for diffuse peritonitis caused by perforated pyometra who was successfully treated with surgical intervention.
根据定义，子宫积脓是指子宫腔内积聚脓性液体。据估计，其发病率在0.1%至0.5%之间。通常，这与绝经后女性有关；然而，它也与同时使用宫内节育器的绝经前女性有关。据我们所知，英文文献中记录的因子宫积脓穿孔导致急腹症的病例不到50例，导致气腹的病例不到25例。我们报告了一名因穿孔性子宫积脓引起弥漫性腹膜炎而接受评估的患者，该患者通过手术干预成功治愈。
