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

Bibliographic Details
Main Author: Melo,Paulo
Publication Date: 2017
Other Authors: Andrade,Luis Jesuino, Cruz,Fernando Elias, Conrado,Emannuel
Format: Report
Language: eng
Source: Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)
Download full: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000400270
Summary: 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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spelling Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case reportuterine perforationacute abdomenpyometraABSTRACT 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.Sociedade Brasileira de Patologia Clínica2017-08-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000400270Jornal Brasileiro de Patologia e Medicina Laboratorial v.53 n.4 2017reponame:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)instname:Sociedade Brasileira de Patologia (SBP)instacron:SBP10.5935/1676-2444.20170042info:eu-repo/semantics/openAccessMelo,PauloAndrade,Luis JesuinoCruz,Fernando EliasConrado,Emannueleng2017-09-25T00:00:00Zoai:scielo:S1676-24442017000400270Revistahttp://www.scielo.br/jbpmlhttps://old.scielo.br/oai/scielo-oai.php||jbpml@sbpc.org.br1678-47741676-2444opendoar:2017-09-25T00:00Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) - Sociedade Brasileira de Patologia (SBP)false
dc.title.none.fl_str_mv Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report
title Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report
spellingShingle Perforation of pyometra presenting as obstructive acute abdomen and peritonitis: a case report
Melo,Paulo
uterine perforation
acute abdomen
pyometra
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
author Melo,Paulo
author_facet Melo,Paulo
Andrade,Luis Jesuino
Cruz,Fernando Elias
Conrado,Emannuel
author_role author
author2 Andrade,Luis Jesuino
Cruz,Fernando Elias
Conrado,Emannuel
author2_role author
author
author
dc.contributor.author.fl_str_mv Melo,Paulo
Andrade,Luis Jesuino
Cruz,Fernando Elias
Conrado,Emannuel
dc.subject.por.fl_str_mv uterine perforation
acute abdomen
pyometra
topic uterine perforation
acute abdomen
pyometra
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.
publishDate 2017
dc.date.none.fl_str_mv 2017-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442017000400270
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/1676-2444.20170042
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dc.publisher.none.fl_str_mv
Sociedade Brasileira de Patologia Clínica
publisher.none.fl_str_mv
Sociedade Brasileira de Patologia Clínica
dc.source.none.fl_str_mv Jornal Brasileiro de Patologia e Medicina Laboratorial v.53 n.4 2017
reponame:Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)
instname:Sociedade Brasileira de Patologia (SBP)
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collection Jornal Brasileiro de Patologia e Medicina Laboratorial (Online)
repository.name.fl_str_mv Jornal Brasileiro de Patologia e Medicina Laboratorial (Online) - Sociedade Brasileira de Patologia (SBP)
repository.mail.fl_str_mv ||jbpml@sbpc.org.br
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