子宮頸癌による子宮留膿腫のため自然子宮穿孔をきたした2例

概要

論文の詳細を見る
Pyometra is a common phenomenon in elderly patients with gynecological disorders, but spontaneous perforation of the pyometra is an extremely rare.We report two cervical cancer cases in which spontaneous perforation of the pyometra was seen.Preoperative diagnosis was spontaneous rupture of the neurogenic bladder and gastrointestional tract, respectively.The rarity of this phenomenon and nonspecific symptoms make the diagnosis difficult.We believe that as pyometra is frequently seen in elderly patients with advanced cervical cancer, spontaneous perforation should be taken into consideration as a differential diagnosis for acute abdominal pain.We also believe that proper treatment such as cervical dilation should be done in patients with severe pyometra to prevent spontaneous rupture of the pyometra.
社団法人日本産科婦人科学会の論文
2000-06-01