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Case Reports in Obstetrics and Gynecology
Volume 2013 (2013), Article ID 298383, 2 pages
http://dx.doi.org/10.1155/2013/298383
Case Report

Spontaneous Rupture of Pyometra

1Departments of Obstetrics and Gynecology, Valiasr Hospital, Tehran University of Medical Sciences, Tehran 1419733141, Iran
2Medical Philosophy and History Research Center, Tabriz University of Medical Science, Tabriz 51368, Iran

Received 15 June 2013; Accepted 14 July 2013

Academic Editors: B. Piura and K. Takeuchi

Copyright © 2013 Fatemeh Mallah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Spontaneous perforation is a very rare complication of pyometra. The clinical findings of perforated pyometra are similar to perforation of the gastrointestinal tract and other causes of acute abdomen. In most cases, a correct and definite diagnosis can be made only by laparotomy. We report two cases of diffuse peritonitis caused by spontaneous perforated pyometra. The first case is a 78-year-old woman with abdominal pain for which laparotomy was performed because of suspected incarcerated hernia. The second case is a 61-year-old woman with abdominal pain for which laparotomy was performed because of symptoms of peritonitis. At laparotomy of both cases, 1 liter of pus with the source of uterine was found in the abdominal cavity. The ruptured uterine is also detected. More investigations revealed no malignancy as the reason of the pyometra.