Perforative Peritonitis-Gastrointestinal Tract May Not Always Be the Source

Abhay Desai, Abhay Y Desai, Bhakti Palande, Sangram Dhabolkar, Vishwas D. Pai
The Indian journal of surgery · 2016 · vol. 79(2) , pp. 160–162 · doi:10.1007/s12262-016-1460-7 · PMID:28442845 · PMC5386941 · W2288893442
Case report OA: bronze CC0 ⤵ 2 in-corpus citations
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This report describes two cases of spontaneous uterine perforation in elderly postmenopausal women presenting with generalized peritonitis, highlighting a rare etiology distinct from the more common gastrointestinal causes.

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Abstract

Perforative peritonitis is the most common surgical emergency in general surgical practice. Gastrointestinal perforation is the etiology in the vast majority of the patients. However, occasionally, other rare causes may be encountered. One such cause of peritonitis is spontaneous perforation of non-gravid uterus. Uterine perforation is a potential complication of any intrauterine procedure and may be associated with injury to surrounding blood vessels or viscera such as the urinary bladder or intestine. Spontaneous uterine perforation is rare and less than 50 cases have been reported in the English literature. We are presenting two such cases of spontaneous perforation of the uterus in elderly postmenopausal women which presented with generalized peritonitis and were clinically indistinguishable from gastrointestinal perforation.

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