Spontaneous uterine perforation of pyometra leads to acute abdominal pain and septic shock:a case report  

作　　者：Xiao-li Li Jun Lin 

机构地区：[1]Department of Gynecology,the Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310009,China [2]Department of General Gynecology,Women’s Hospital,School of Medicine,Zhejiang University,Hangzhou 310006,China

出　　处：《World Journal of Emergency Medicine》2022年第6期504-506,共3页世界急诊医学杂志（英文）

摘　　要：Dear editor,Uterine pyometra is a rare disease that mostly affects elderly women and is usually asymptomatic.Pyometra is defined as an accumulation of pus in the uterine cavity caused by genital tract malignancy or benign cervical diseases such as senile cervicitis,cervical polyps,or remaining intrauterine devices after menopause.[1]The incidence of spontaneous uterine perforation due to pyometra is extremely low,ranging from 0.01%to 0.05%.[2]Although it has low morbidity,it can progress to diffuse peritonitis,and the mortality rate associated with septic shock is as high as 25%-40%.[3]It is still difficult for emergency doctors to provide an accurate diagnosis and perform surgery on time.Here,we present a rare case of a 72-year-old woman who was diagnosed with spontaneous uterine perforation of pyometra and successfully treated with an emergency laparotomy.

关 键 词：UTERINE diagnosis MORTALITY 

分 类 号：R711[医药卫生—妇产科学]