Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report

ABSTRACT We report a rare case of a 67-year-old postmenopausal woman presenting diffuse peritonitis secondary to spontaneous perforation of pyometra with obstructive acute abdomen. During laparotomy was performed subtotal abdominal hysterectomy with bilateral salpingo-oophorectomy. The histopatholog...

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Bibliographic Details
Main Authors: Paulo Melo (Author), Luis Jesuino Andrade (Author), Fernando Elias Cruz (Author), Emannuel Conrado (Author)
Format: Book
Published: Sociedade Brasileira de Patologia Clínica, 2017-08-01T00:00:00Z.
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Summary:ABSTRACT We report a rare case of a 67-year-old postmenopausal woman presenting diffuse peritonitis secondary to spontaneous perforation of pyometra with obstructive acute abdomen. During laparotomy was performed subtotal abdominal hysterectomy with bilateral salpingo-oophorectomy. The histopathology found the presence of moderately differentiated uterine squamous cell carcinoma. Despite intensive care, the patient died due to multiple organ failure resulting from sepsis on postoperative day 1. This case shows the importance of clinical suspicion on the acute gynecological diseases presenting as a systemic disease in the emergency room.
Item Description:1678-4774
10.5935/1676-2444.20170042