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Infectious Diseases in Obstetrics and Gynecology
Volume 2006 (2006), Article ID 26786, 3 pages
Case Report

Spontaneous Perforation of Pyometra

Department of Obstetrics and Gynecology, Marmara University Hospital, Faculty of Medicine, Marmara University, Haydarpaşa Istanbul 81326, Turkey

Received 21 March 2005; Revised 31 March 2005; Accepted 31 May 2005

Copyright © 2006 Begüm Yildizhan 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.


Pyometra is the accumulation of purulent material in the uterine cavity. Its reported incidence is 0.010.5% in gynecologic patients; however, as far as elderly patients are concerned, its incidence is 13.6% [3]. The most common cause of pyometra is malignant diseases of genital tract and the consequences of their treatment (radiotherapy). Other causes are benign tumors like leiomyoma, endometrial polyps, senile cervicitis, cervical occlusion after surgery, puerperal infections, and congenital cervical anomalies. Spontaneous rupture of the uterus is an extremely rare complication of pyometra. To our knowledge, only 21 cases of spontaneous perforation of pyometra have been reported in English literature since 1980. This paper reports an additional case of spontaneous uterine rupture.