Document Detail


Sealed-off spontaneous perforation of a pyometra diagnosed preoperatively by magnetic resonance imaging: a case report.
MedLine Citation:
PMID:  20815069     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Spontaneous perforation is a very rare complication of pyometra. The clinical findings of perforated pyometra usually mimic perforation of the gastrointestinal tract. In most cases a correct diagnosis can be made only by laparotomy. In our case, the patient's pyometra was sealed and she complained only of mild abdominal pain and showed no signs of peritonitis. Ultrasonography and computed tomography (CT) findings were not suggestive of uterine rupture. However, T2-weighted magnetic resonance imaging (MRI) demonstrated a full thickness defect of the myometrium. We discuss the CT and MRI findings that confirmed a correct diagnosis of perforated pyometra.
Authors:
Jonghyun Kim; Dong-Hyu Cho; Young-Kon Kim; Jeong-Heon Lee; Young-Ju Jeong
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  32     ISSN:  1522-2586     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-03     Completed Date:  2011-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  697-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Chonbuk National University Medical School, Jeonju, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Abdomen, Acute / diagnosis,  etiology
Aged, 80 and over
Contrast Media / diagnostic use
Endosonography / methods
Female
Follow-Up Studies
Humans
Laparotomy / methods
Magnetic Resonance Imaging / methods*
Pyometra / complications,  diagnosis*,  surgery
Severity of Illness Index
Tomography, X-Ray Computed / methods
Treatment Outcome
Uterine Perforation / diagnosis*,  etiology,  surgery*
Chemical
Reg. No./Substance:
0/Contrast Media

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