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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Patologia Clínica
2017-08-01
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| Series: | Jornal Brasileiro de Patologia e Medicina Laboratorial |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000400270&tlng=en |
| _version_ | 1818976720494002176 |
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| author | Paulo Melo Luis Jesuino Andrade Fernando Elias Cruz Emannuel Conrado |
| author_facet | Paulo Melo Luis Jesuino Andrade Fernando Elias Cruz Emannuel Conrado |
| author_sort | Paulo Melo |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T16:16:20Z |
| format | Article |
| id | doaj.art-02bdc9b9de37402d9cf2bf78f7320eaf |
| institution | Directory Open Access Journal |
| issn | 1678-4774 |
| language | English |
| last_indexed | 2024-12-20T16:16:20Z |
| publishDate | 2017-08-01 |
| publisher | Sociedade Brasileira de Patologia Clínica |
| record_format | Article |
| series | Jornal Brasileiro de Patologia e Medicina Laboratorial |
| spelling | doaj.art-02bdc9b9de37402d9cf2bf78f7320eaf2022-12-21T19:33:46ZengSociedade Brasileira de Patologia ClínicaJornal Brasileiro de Patologia e Medicina Laboratorial1678-47742017-08-0153427027210.5935/1676-2444.20170042Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case reportPaulo MeloLuis Jesuino AndradeFernando Elias CruzEmannuel ConradoABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000400270&tlng=enuterine perforationacute abdomenpyometra |
| spellingShingle | Paulo Melo Luis Jesuino Andrade Fernando Elias Cruz Emannuel Conrado Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report Jornal Brasileiro de Patologia e Medicina Laboratorial uterine perforation acute abdomen pyometra |
| title | Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report |
| title_full | Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report |
| title_fullStr | Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report |
| title_full_unstemmed | Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report |
| title_short | Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report |
| title_sort | perforation of pyometra presenting as obstructive acute abdomen and peritonitis a case report |
| topic | uterine perforation acute abdomen pyometra |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000400270&tlng=en |
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