ArticleCureus2025
Perforation of a Pyometra: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed.
- Article
- 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 Pyometra in a Very Elderly Woman Revealing Serous Endometrial Carcinoma: A Case Report.Cureus · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pyometra, characterized by the accumulation of purulent material in the uterine cavity, can result in spontaneous uterine perforation, which is a rare but life-threatening complication. This report presents a unique case of uterine perforation as a result of pyometra in a postmenopausal woman. A 52-year-old postmenopausal woman presented to the emergency department with severe abdominal pain, fever, nausea, and vomiting. Clinical suspicion was initially directed toward acute appendicitis. However, imaging revealed pneumoperitoneum with multiple air pockets, suggesting intestinal perforation. Exploratory laparotomy uncovered no bowel perforation but revealed a 2x2 cm uterine fundal perforation with pus drainage. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. Histopathology confirmed acute necrotizing inflammation extending into the myometrium, with no malignancy detected. Therefore, early diagnosis and surgical intervention, including hysterectomy, are critical for reducing the high morbidity and mortality associated with this condition. Hence, this case underscores the importance of considering uterine perforation as a differential diagnosis in elderly postmenopausal women presenting with acute abdomen for which prompt surgical management is essential to ensure a favorable outcome.
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Registered trials
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