A Rare Case of Peritonitis Following Spontaneous Rupture of Pyometra

Pyometra is the accumulation of pus in the uterine cavity. The reported incidence varies from 0.5% in young patients to 13.6% in elderly patients attending gynecological clinic. It is a common complication of malignancy of cervix and uterine body. The cause of pyometra is the occlusion of cervical canal by benign or malignant growth, stenosis following age�related atrophy, radiation treatment, or surgery on the cervix. A spontaneous rupture of pyometra causing diffuse peritonitis is very rare, with reported incidence of 0.01% to 0.5% in elderly women. Unless recognized in time, it can be a life�threatening condition. We present a case of 65�year�old woman who presented with this rare and life�threatening complication. She was treated by emergency exploratory laparotomy. Total abdominal hysterectomy with bilateral salpingo ophorectomy was performed. Patient had uneventful postoperative period.

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