Spontaneous Uterine Perforation Mimicking Acute Abdomen

Dr. Sivabalan P MS, Dr. Rajesh S MS

Abstract: Incidence of Spontaneous uterine perforation is very rare of about 0.01% - 0.05%. We did a case of peritonitis caused by perforated uterus. A 40 - year - old woman with abdominal pain was admitted to our hospital. Exploratory Laparotomy was performed for the suspicion of gastrointestinal perforation with generalized peritonitis. At laparotomy, about 900 mL of pus was found in the peritoneal cavity. No abnormal findings in the Small bowel, large bowel and Gallbladder. A total abdominal hysterectomy with bilateral salpingo - oophorectomy was performed. Histopathology of the specimen revealed endometritis and myometritis of the uterus; but there was no evidence of malignancy, and the cervical canal was patent. Despite rare finding, the condition must be born in mind with regard to elderly women with acute abdominal pain.

Keywords: Acute Abdomen, Uterine perforation, Peritonitis, Old Age, Pyometra