2021 Volume 42 Issue 3 Pages 71-74
A 69-year-old female was transferred to this hospital from another hospital because of decrease of blood pressure. Free intraperitoneal air, fluid retention and an encapsulated space with fluid retention in pelvic floor were observed on CT scan at visit. We did laparotomy at suspect of panperitonitis with lower intestinal perforation. There was suppurative ascites with foul smell, and uterus was damaged at some portions and had suppurative fluid inside. We diagnosed pyometra perforation and performed abdominal intraperitoneal drainage and supravaginal hysterectomy. After operation, we conducted intensive care including supports circulation and respiration, antibacterial drugs and treatments for DIC.
