Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report

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 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.

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Main Authors: Melo,Paulo, Andrade,Luis Jesuino, Cruz,Fernando Elias, Conrado,Emannuel
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Patologia Clínica 2017
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000400270
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spelling oai:scielo:S1676-244420170004002702017-09-25Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case reportMelo,PauloAndrade,Luis JesuinoCruz,Fernando EliasConrado,Emannuel uterine perforation acute abdomen pyometra 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.info:eu-repo/semantics/openAccessSociedade Brasileira de Patologia Clínica Jornal Brasileiro de Patologia e Medicina Laboratorial v.53 n.4 20172017-08-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000400270en10.5935/1676-2444.20170042
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Melo,Paulo
Andrade,Luis Jesuino
Cruz,Fernando Elias
Conrado,Emannuel
spellingShingle Melo,Paulo
Andrade,Luis Jesuino
Cruz,Fernando Elias
Conrado,Emannuel
Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report
author_facet Melo,Paulo
Andrade,Luis Jesuino
Cruz,Fernando Elias
Conrado,Emannuel
author_sort Melo,Paulo
title 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_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_sort perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report
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.
publisher Sociedade Brasileira de Patologia Clínica
publishDate 2017
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000400270
work_keys_str_mv AT melopaulo perforationofpyometrapresentingasobstructiveacuteabdomenandperitonitisacasereport
AT andradeluisjesuino perforationofpyometrapresentingasobstructiveacuteabdomenandperitonitisacasereport
AT cruzfernandoelias perforationofpyometrapresentingasobstructiveacuteabdomenandperitonitisacasereport
AT conradoemannuel perforationofpyometrapresentingasobstructiveacuteabdomenandperitonitisacasereport
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