Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Obstetrics and Gynecology
Volume 2017, Article ID 4572379, 3 pages
https://doi.org/10.1155/2017/4572379
Case Report

Spontaneous Rupture of Pyometra in a Nonpregnant Young Woman

1Women’s Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2Department of Obstetrics and Gynecology, Tabriz University of Medical Sciences, Tabriz, Iran
3Reproductive Health Research Center, Department of Obstetrics and Gynecology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
4Students’ Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
5Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Correspondence should be addressed to Shabnam Vazifekhah; moc.oohay@hahkefizav.manbahs

Received 23 October 2016; Accepted 4 January 2017; Published 19 February 2017

Academic Editor: Irene Hoesli

Copyright © 2017 Parvin Mostafa-Gharabaghi 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

A 40-year-old woman presented with severe vaginal bleeding. Initial workup with an abdominal sonography revealed endometrium for about 3 mm and free fluid in the abdomen. Hemodynamic instability with abdominal pain and free fluid in the abdomen prompted blood transfusion and laparotomy. There were about 1000 cc blood and clots in the abdomen at laparotomy. There was a longitudinal rupture from fundus up to cervix at the left side of the uterus. Tearing was in full thickness from serosa to endometrium. Scar of previous cesarean was transvers and not associated with this tearing. There was not any myomectomy scar.