Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3968731 | Progresos de Obstetricia y Ginecología | 2014 | 4 Pages |
ResumenSe presenta un caso de perforación uterina espontánea secundaria a piometra. La perforación uterina es una rara entidad que afecta principalmente a mujeres posmenopáusicas debido a la retención de las secreciones de la cavidad uterina por obstrucción del canal cervical. Su presentación clínica es inespecífica, con dolor abdominal bajo, fiebre, vómitos y datos analíticos de infección, y sus complicaciones potencialmente graves, como peritonitis o shock séptico, de ahí la importancia de su diagnóstico precoz mediante técnicas de imagen.
This paper reports a case of spontaneous perforation due to pyometra. Spontaneous uterine perforation is a rare event that usually affects postmenopausal women. It is secondary to retention of purulent secretions in the uterine cavity caused by obstruction of the cervical canal. The diagnosis is difficult to establish because the clinical presentation is nonspecific and includes abdominal pain, fever, vomiting and laboratory data indicating infection. An early imaging diagnosis is mandatory due to the potentially severe complications of this event such as peritonitis and septic shock.