子宮留膿腫穿孔による汎発性腹膜炎の1例 [in Japanese] A CASE OF GENERALIZED PERITONITIS BY PERFORATED PYOMETRA [in Japanese]
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We report a case of generalized peritonitis by perforated pyometra. A 72-year-old woman developed lower abdominal pain during hospitalization for polymyalgia rheumatica. The muscle guarding was present in the area centering the lower abdomen, and an emergency operation was performed under a diagnosis of generalized peritonitis by perforation of lower intestinal tract. On laparotomy, the intestinal tract was intact but a perforation in the fundus of the uterus was found and pus flowed out. A diagnosis of generalized peritonitis by perforated pyometora was made, and total histerectomy and peritoneal drainage were carried out. Histological examination of the uterus revealed out. Histological examination of the uterus revealed no evidence of malignancy. In case of the elderly women with generalized peritonitis, especially those with poor activity in daily living a perforated pyometra must be considered in the differential diagnosis.
- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 59(11), 2926-2929, 1998-11-25
Japan Surgical Association