Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases

Introduction: Pyometra is the accumulation of purulent fluid in the uterine cavity caused by impaired drainage of pus due to benign or malignant conditions; rarely with resultant spontaneous uterine perforation brought about by uterine distension. Cases: We report three consecutive cases of spon...

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Autores principales:	Pooja Paudyal, Josie Baral, Geeta Gurung, Ashma Rana, Suniti Rawal, Meeta Singh
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2018
Materias:	Acute abdomen Perforated pyometra Spontaneous Surgery RD1-811
Acceso en línea:	https://doaj.org/article/9a92cefcac684a81837f81a8b686e332
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spelling	oai:doaj.org-article:9a92cefcac684a81837f81a8b686e3322021-12-05T19:15:57ZSpontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases10.3126/jssn.v21i1.243721815-39842392-4772https://doaj.org/article/9a92cefcac684a81837f81a8b686e3322018-06-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/24372https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Pyometra is the accumulation of purulent fluid in the uterine cavity caused by impaired drainage of pus due to benign or malignant conditions; rarely with resultant spontaneous uterine perforation brought about by uterine distension. Cases: We report three consecutive cases of spontaneous perforated pyometra in postmenopausal elderly women aged 60 to 70 years who presented with acute abdomen, initially diagnosed as hollow viscus perforation, demonstrated of having significant uterine perforation at laparotomy for which hysterectomy with bilateral salpingo-oophorectomy were done. Histopathological examination revealed features of necrosis of stroma with chronic endometritis without any evidence of malignancy in all the three cases. Conclusion: Spontaneous perforated pyometra, a grave complication necessitating prompt intervention, should always be kept as a possibility in all cases of suspected pyoperitoneum and acute abdomen in elderly postmenopausal women. Pooja PaudyalJosie BaralGeeta GurungAshma RanaSuniti RawalMeeta SinghSociety of Surgeons of NepalarticleAcute abdomenPerforated pyometraSpontaneousSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 21, Iss 1 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Acute abdomen Perforated pyometra Spontaneous Surgery RD1-811
spellingShingle	Acute abdomen Perforated pyometra Spontaneous Surgery RD1-811 Pooja Paudyal Josie Baral Geeta Gurung Ashma Rana Suniti Rawal Meeta Singh Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases
description	Introduction: Pyometra is the accumulation of purulent fluid in the uterine cavity caused by impaired drainage of pus due to benign or malignant conditions; rarely with resultant spontaneous uterine perforation brought about by uterine distension. Cases: We report three consecutive cases of spontaneous perforated pyometra in postmenopausal elderly women aged 60 to 70 years who presented with acute abdomen, initially diagnosed as hollow viscus perforation, demonstrated of having significant uterine perforation at laparotomy for which hysterectomy with bilateral salpingo-oophorectomy were done. Histopathological examination revealed features of necrosis of stroma with chronic endometritis without any evidence of malignancy in all the three cases. Conclusion: Spontaneous perforated pyometra, a grave complication necessitating prompt intervention, should always be kept as a possibility in all cases of suspected pyoperitoneum and acute abdomen in elderly postmenopausal women.
format	article
author	Pooja Paudyal Josie Baral Geeta Gurung Ashma Rana Suniti Rawal Meeta Singh
author_facet	Pooja Paudyal Josie Baral Geeta Gurung Ashma Rana Suniti Rawal Meeta Singh
author_sort	Pooja Paudyal
title	Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases
title_short	Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases
title_full	Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases
title_fullStr	Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases
title_full_unstemmed	Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases
title_sort	spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases
publisher	Society of Surgeons of Nepal
publishDate	2018
url	https://doaj.org/article/9a92cefcac684a81837f81a8b686e332
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Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases

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