Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases
Introduction: Pyometra is the accumulation of purulent fluid in the uterine cavity caused by impaired drainage of pus due to benign or malignant conditions; rarely with resultant spontaneous uterine perforation brought about by uterine distension. Cases: We report three consecutive cases of spont...
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| Format: | Article |
| Language: | English |
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Society of Surgeons of Nepal
2018-06-01
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| Series: | Journal of Society of Surgeons of Nepal |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/JSSN/article/view/24372 |
| _version_ | 1819237304044093440 |
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| author | Pooja Paudyal Josie Baral Geeta Gurung Ashma Rana Suniti Rawal Meeta Singh |
| author_facet | Pooja Paudyal Josie Baral Geeta Gurung Ashma Rana Suniti Rawal Meeta Singh |
| author_sort | Pooja Paudyal |
| collection | DOAJ |
| description | Introduction: Pyometra is the accumulation of purulent fluid in the uterine cavity caused by impaired drainage of pus due to benign or malignant conditions; rarely with resultant spontaneous uterine perforation brought about by uterine distension.
Cases: We report three consecutive cases of spontaneous perforated pyometra in postmenopausal elderly women aged 60 to 70 years who presented with acute abdomen, initially diagnosed as hollow viscus perforation, demonstrated of having significant uterine perforation at laparotomy for which hysterectomy with bilateral salpingo-oophorectomy were done. Histopathological examination revealed features of necrosis of stroma with chronic endometritis without any evidence of malignancy in all the three cases.
Conclusion: Spontaneous perforated pyometra, a grave complication necessitating prompt intervention, should always be kept as a possibility in all cases of suspected pyoperitoneum and acute abdomen in elderly postmenopausal women. |
| first_indexed | 2024-12-23T13:18:12Z |
| format | Article |
| id | doaj.art-9a92cefcac684a81837f81a8b686e332 |
| institution | Directory Open Access Journal |
| issn | 1815-3984 2392-4772 |
| language | English |
| last_indexed | 2024-12-23T13:18:12Z |
| publishDate | 2018-06-01 |
| publisher | Society of Surgeons of Nepal |
| record_format | Article |
| series | Journal of Society of Surgeons of Nepal |
| spelling | doaj.art-9a92cefcac684a81837f81a8b686e3322022-12-21T17:45:32ZengSociety of Surgeons of NepalJournal of Society of Surgeons of Nepal1815-39842392-47722018-06-0121110.3126/jssn.v21i1.24372Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive casesPooja Paudyal0Josie Baral1Geeta Gurung2Ashma Rana3Suniti Rawal4Meeta Singh5Tribhuvan University Teaching Hospital, Kathmandu, NepalTribhuvan University Teaching Hospital Maharajgunj, Kathmandu, NepalTribhuvan University Teaching Hospital, Kathmandu, NepalTribhuvan University Teaching Hospital, Kathmandu, NepalTribhuvan University Teaching Hospital, Kathmandu, NepalTribhuvan University Teaching Hospital, Kathmandu, NepalIntroduction: Pyometra is the accumulation of purulent fluid in the uterine cavity caused by impaired drainage of pus due to benign or malignant conditions; rarely with resultant spontaneous uterine perforation brought about by uterine distension. Cases: We report three consecutive cases of spontaneous perforated pyometra in postmenopausal elderly women aged 60 to 70 years who presented with acute abdomen, initially diagnosed as hollow viscus perforation, demonstrated of having significant uterine perforation at laparotomy for which hysterectomy with bilateral salpingo-oophorectomy were done. Histopathological examination revealed features of necrosis of stroma with chronic endometritis without any evidence of malignancy in all the three cases. Conclusion: Spontaneous perforated pyometra, a grave complication necessitating prompt intervention, should always be kept as a possibility in all cases of suspected pyoperitoneum and acute abdomen in elderly postmenopausal women.https://www.nepjol.info/index.php/JSSN/article/view/24372Acute abdomenPerforated pyometraSpontaneous |
| spellingShingle | Pooja Paudyal Josie Baral Geeta Gurung Ashma Rana Suniti Rawal Meeta Singh Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases Journal of Society of Surgeons of Nepal Acute abdomen Perforated pyometra Spontaneous |
| title | Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases |
| title_full | Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases |
| title_fullStr | Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases |
| title_full_unstemmed | Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases |
| title_short | Spontaneous perforated pyometra presenting as an acute abdomen: appraisal of three consecutive cases |
| title_sort | spontaneous perforated pyometra presenting as an acute abdomen appraisal of three consecutive cases |
| topic | Acute abdomen Perforated pyometra Spontaneous |
| url | https://www.nepjol.info/index.php/JSSN/article/view/24372 |
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