SPONTANEOUS RUPTURE OF UTERUS ASSOCIATED WITH PYOMETRA PRESENTING AS AN ACUTE ABDOMEN

Abstract

Spontaneous rupture of uterus associated
with pyometra in an elderly postmenopausal
women is a rare pathological
condition presenting as an acute abdomen.
We report a case in which an elderly
patient was admitted in our hospital
with signs and symptoms of an acute abdomen
and provisional diagnosis of perforative
peritonitis was made.But laparotomy
revealed spontaneous rupture of
uterus with pus in the peritoneal cavity
and has been managed successfully with
total hysterectomy and bilateral
salphingo-oopherectomy.So far only 22
cases have been reported in the medical
literature.This paper reports an additional
case of spontaneous rupture uterus associated
with pyometra.
Keyword :Spontaneous rupture of
uterus,pyometra.
INTRODUCTION :
Spontaneous rupture of uterus in an postmenopausal
women is an extremely rare
condition.But cases have been reported
that it can occur following the formation of
pyometra.Pyometra which is the accumulation
of pus in the uterine cavity occurs
when the natural drainage of uterine cavity
is compromised.Its reported incidence is
0.01-0.5% in gynaecological patients.This
case of pyometra associated with spontaneous
rupture uterus is not only rare but
also an emergency gynaecological condition
and has been managed successfully
with surgery.