Evidence map›Paper›PMID 40476128›Full record

ArticleCureus2025

Spontaneous Uterine Perforation and the Diagnostic Value of Laparoscopy: A Case Report and Literature Review.

Kennedy Hess, Sarang Kashyap

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Kennedy HessMedical School, Lincoln Memorial University DeBusk College of Osteopathic Medicine, Harrogate, USA.
Sarang KashyapSurgery, Raleigh Advanced Surgery, Raleigh General Hospital, Beckley, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous uterine perforation due to pyometra, the accumulation of fluid within the uterus, is an uncommon cause of acute abdomen. Malignancy should be ruled out in these cases, as pyometra is often associated with gynecological cancers. Symptoms of perforated pyometra are often vague and mistaken for gastrointestinal perforation. A 74-year-old postmenopausal woman presented with severe abdominal pain and nausea. Due to the nonspecific symptoms and pneumoperitoneum on CT imaging, preoperative assessment was consistent with perforated bowel; however, upon diagnostic laparoscopy and peritoneal lavage, perforated pyometra was found. A total hysterectomy with bilateral salpingo-oophorectomy was subsequently performed. Though rare, perforated pyometra should be considered in postmenopausal females with symptoms of acute abdomen due to its high morbidity and mortality. Diagnostic laparoscopy is effective for diagnosing unclear etiologies of acute abdomen and has many benefits compared to exploratory laparotomy.

Indexed as

clinical diagnostic valuediagnostic laparoscopypyometra rupturespontaneous uterine rupturesurgical acute abdomen

Identifiers

PMID40476128
PMCPMC12140815

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.