摘要
Dear editor,Uterine pyometra is a rare disease that mostly affects elderly women and is usually asymptomatic.Pyometra is defined as an accumulation of pus in the uterine cavity caused by genital tract malignancy or benign cervical diseases such as senile cervicitis,cervical polyps,or remaining intrauterine devices after menopause.[1]The incidence of spontaneous uterine perforation due to pyometra is extremely low,ranging from 0.01%to 0.05%.[2]Although it has low morbidity,it can progress to diffuse peritonitis,and the mortality rate associated with septic shock is as high as 25%-40%.[3]It is still difficult for emergency doctors to provide an accurate diagnosis and perform surgery on time.Here,we present a rare case of a 72-year-old woman who was diagnosed with spontaneous uterine perforation of pyometra and successfully treated with an emergency laparotomy.
