A Case of Acute Perforated Peritonitis Due to Rupture of a Pyometra Associated with a Rectovaginal Fistula

DOI

Bibliographic Information

Other Title
  • 直腸膣瘻に起因する子宮留膿腫穿孔による急性穿孔性腹膜炎の1例

Description

<p>We report a case of acute perforated peritonitis secondary to rupture of a pyometra associated with a rectovaginal fistula. A 72-year-old woman who had been under follow-up for a rectovaginal fistula with pyometra caused by insertion of a pessary was admitted to our hospital with the complaint of abdominal pain. Physical examination revealed tenderness and muscle guarding in the lower abdomen. Transvaginal US examination revealed a fluid-filled uterus. CT examination showed ascites and a distended fluid-filled uterus. In addition, free air was detected in the abdominal and uterine cavities. We diagnosed the patient as a case of acute perforated peritonitis and performed emergency laparotomy. At laparotomy, a perforation was found in the anterior wall of the uterine body. Therefore, total abdominal hysterectomy, bilateral salpingo-oophorectomy and resection of the rectovaginal fistula were performed. In elderly female patients, peritonitis caused by rupture of a pyometra should be considered in the differential diagnosis of acute abdomen.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390001204736712320
  • NII Article ID
    130005290597
  • DOI
    10.11231/jaem.36.1131
  • ISSN
    18824781
    13402242
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

Report a problem

Back to top