ArticleJournal of surgical case reports2022
Spontaneous perforation of pyometra-is hysterectomy required in the emergent setting? A case report and literature review.
Article in Journal of surgical case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Septic Peritonitis from Ruptured Pyometra: Case Report and Literature Review.Clinical case reports · 2026Article
- Risk Factors for Severe Pyometra Uteri in Elderly Women: A Case-Control Study at a Tertiary Care Hospital in Japan.Cureus · 2026Article
- Laparoscopic uterine-preserving management of ruptured pyometra using open drainage: a case report.Journal of surgical case reports · 2026Article
- Spontaneous Perforation of Pyometra in a Postmenopausal Woman with Intrauterine Device Presenting with Septic Shock: A Case Report and Review of Published Cases.International journal of women's health · 2026Article
- Article
- Spontaneous Uterine Perforation and the Diagnostic Value of Laparoscopy: A Case Report and Literature Review.Cureus · 2025Article
- Perforation of a Pyometra: A Case Report.Cureus · 2025Article
- Live birth after uterine-sparing treatment of pyometra following abdominal myomectomy: A case report.Case reports in women's health · 2024Article
- Management of Pyometra Using a Novel Image-Guided Percutaneous Technique: A Case Report.Medicina (Kaunas, Lithuania) · 2023Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Spontaneous perforation of pyometra is a rare event associated with significant morbidity and mortality when diffuse peritonitis is present. While malignant lesions of the cervical tract are the most common cause of pyometra, several benign conditions can contribute to this diagnosis. Traditionally hysterectomy has been the surgical approach of choice for this clinical entity; however, in the setting of septic shock, temporizing techniques may offer the opportunity to stabilize patients and complete a thorough work up before committing to definitive resection. This report explores a case of septic shock secondary to spontaneous perforation of pyometra that was definitively managed with peritoneal lavage and wide drainage. Intraoperative hysteroscopy and uterine biopsy were performed, and no malignancy was identified on final pathology. Intraoperative hysteroscopy along with peritoneal lavage and wide drainage may reduce the morbidity and mortality associated with sepsis from spontaneous perforation of pyometra and potentially avoid unnecessary hysterectomy.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.