A Case of Pan-peritonitis due to Perforation of the Pyometra as a Result of Invasion of Rectal Cancer to the Uterus

• Sogahata Katsuya

  First Department of Surgery, Sapporo Medical University, School of Medicine Hokkaido Prefectural Haboro Hospital

• Mizushima Yasuhiro

  Ashibetsu Municipal Hospital

• Matsumura Nobuyuki

  First Department of Surgery, Sapporo Medical University, School of Medicine

• Kawamoto Masaki

  First Department of Surgery, Sapporo Medical University, School of Medicine

• Nomura Hiroki

  Ashibetsu Municipal Hospital

• Hata Fumitake

  First Department of Surgery, Sapporo Medical University, School of Medicine

• Someya Tetsufumi

  Hokkaido Prefectural Haboro Hospital

• Yasoshima Takahiro

  First Department of Surgery, Sapporo Medical University, School of Medicine

• Sato Takashi

  Hokkaido Prefectural Haboro Hospital

• Hirata Koichi

  First Department of Surgery, Sapporo Medical University, School of Medicine

Bibliographic Information

Other Title

• 直腸癌子宮浸潤による子宮留膿腫穿孔から汎発性腹膜炎をきたした１症例

Abstract

We report a rare case of panperitonitis due to pyometral perforation due to rectal cancer invading the uterus. An 88-year-old woman with a high fever and appetite loss was diagnosed with panperitonitis due to appendix perforation, demonstrated by palpation, which showed diffuse muscle guarding, and abdominal computed to-mography (CT), which showed an abscess around the appendix. Emergency surgery showed perforation of the uterine fundus, which had been invaded by rectal cancer involving the left ovary, necessitating resection of the rectum, uterus, and left ovary. Pathologically, rectal cancer had metastasized to the uterus, where contamination uterine cavity contributed to pyometral perforation when progressing rectal cancer obstructed the uterus. The possibility of pyometral perforation should thus be considered in elderly women diagnosed with generalized peritonitis. The peritoneal cavity must also be thoroughly examined to rule out the rare inva-sion of malignant cancer.

Journal

• The Japanese Journal of Gastroenterological Surgery

  The Japanese Journal of Gastroenterological Surgery 38 (4), 469-473, 2005

  The Japanese Society of Gastroenterological Surgery

Keywords

• pyometra
• rupture of uterus
• rectal cancer

Details

• CRID: 1390001204917270272
• NII Article ID: 130004344276
• NII Article ID: 110001356491
• NII Book ID: AN00192066
• DOI: 10.5833/jjgs.38.469
• ISSN: 13489372
• ISSN: 03869768
• ISSN: http://id.crossref.org/issn/03869768
• Web Site: https://www.jstage.jst.go.jp/article/jjgs1969/38/4/38_4_469/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2005116985
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed