子宮留膿腫の穿孔による汎発性腹膜炎の1例

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  • A CASE OF PERPORATED PYOMETRA ASSOCIATED WITH DIFFUSE PERITONITIS

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A case of perforated pyometra associating with diffuse peritonitis is reported.<br> A 69-year-old woman was admitted to the hospital because of a high fever and lower abdominal pain. The abdomen was distended and muscle guarding and Blumberg sign were observed. White blood cell count was 5200, slight anemia being seen. Abdominal simple x-ray film revealed no free air. The patient was diagnosed as diffuse peritonitis and immediately operated on. On laparotomy, perforated pyometra associated with diffuse peritonitis was observed. Hysterectomy, bilateral salpingoophorectomy and drainage were performed. Histologically, pyometra with inflammation and necrosis of the myometrium were noted. No cancer lesions were noted in the uterus.<br> The patient was discharged from the hospital on the 21st day after surgery, but she died of esophageal cancer six months later. A review of 15 cases seen in the Japanese literature is also presented here.

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