İşlek Seçen Elçin, Ağış Hilal, Altunkaya Canan, Avşar Ayşe Filiz
Atatürk Training and Research Hospital, Clinic of Obstetrics and Gynecology, Ankara, Turkey.
Atatürk Training and Research Hospital, Clinic of Pathology, Ankara, Turkey.
Turk J Obstet Gynecol. 2015 Jun;12(2):122-124. doi: 10.4274/tjod.70370. Epub 2015 Jun 15.
Spontaneous uterine rupture and generalized peritonitis caused by pyometra occurs rarely with high morbidity and mortality. A correct and definite diagnosis can be made with laparotomy or laparoscopy. The clinical findings of perforated pyometra are similar to perforation of the gastrointestinal tract and gynecologic symptoms are less frequent, which makes preoperative diagnosis difficult. We report a case of a patient aged 82 years who underwent surgery for spontaneous uterine rupture and generalized peritonitis as a result of pyometra.
由积脓引起的自发性子宫破裂和弥漫性腹膜炎很少见，发病率和死亡率都很高。通过剖腹手术或腹腔镜检查可以做出正确而明确的诊断。积脓穿孔的临床表现与胃肠道穿孔相似，妇科症状较少见，这使得术前诊断困难。我们报告一例82岁患者，因积脓导致自发性子宫破裂和弥漫性腹膜炎而接受手术。
