Desai Abhay Y, Palande Bhakti, Dhabolkar Sangram, Pai Vishwas D
Department of Surgery, B K L Walawalkar Hospital and Research Centre, Shree Kshetra Dervan, Ratnagiri, Maharastra 415606 India.
Indian J Surg. 2017 Apr;79(2):160-162. doi: 10.1007/s12262-016-1460-7. Epub 2016 Feb 29.
Perforative peritonitis is the most common surgical emergency in general surgical practice. Gastrointestinal perforation is the etiology in the vast majority of the patients. However, occasionally, other rare causes may be encountered. One such cause of peritonitis is spontaneous perforation of non-gravid uterus. Uterine perforation is a potential complication of any intrauterine procedure and may be associated with injury to surrounding blood vessels or viscera such as the urinary bladder or intestine. Spontaneous uterine perforation is rare and less than 50 cases have been reported in the English literature. We are presenting two such cases of spontaneous perforation of the uterus in elderly postmenopausal women which presented with generalized peritonitis and were clinically indistinguishable from gastrointestinal perforation.
穿孔性腹膜炎是普通外科手术中最常见的紧急情况。绝大多数患者的病因是胃肠道穿孔。然而，偶尔也会遇到其他罕见原因。其中一种腹膜炎病因是非妊娠子宫的自发性穿孔。子宫穿孔是任何宫内手术的潜在并发症，可能伴有周围血管或内脏如膀胱或肠道的损伤。自发性子宫穿孔很罕见，英文文献报道的病例不到50例。我们现报告两例老年绝经后妇女自发性子宫穿孔病例，均表现为弥漫性腹膜炎，临床上与胃肠道穿孔难以区分。
