Spontaneous Perforation of Uterus in Pyometra

Authors

  • Sadhana Mathur
  • Ravi Mathur
  • Priyanka Suhag
  • Pahula Verma

Abstract

Accumulation of pus in the uterine cavity is known as Pyometra. Any cause that obstructs the flow of menstrual blood and endometrial secretions can lead to development of Pyometra. Various factors have been implicated in development of this condition which includes any benign or malignant growth that obstructs cervical canal, any age related stenosis, previous radiotherapy, previous surgeries on cervix. Spontaneous Rupture of Pyometra is a rare event and can be life threatening if not recognized on time. We present a case of 75-year-old woman who presented with this rare and life-threatening complication. Immediate emergency exploratory laparotomy with total abdominal hysterectomy was performed. Patient had uneventful postoperative period .More investigations revealed no malignancy as the reason of the pyometra.

Keywords: spontaneous uterine perforation, pyometra; peritonitis.

Author Biography

  • Ravi Mathur

    PARTICULARS OF DR. RAVI KUMAR MATHUR

     

    Name                         DR.RAVI KUMAR MATHUR

    Father’s Name            Mr.KRISHAN SWARUP MATHUR

    Date of Birth              24th May 1955

    Sex                              Male

    Permanent Address    111/402 SHIPRA PATH AGARWAL FARM, JAIPUR-302020

    RAJASTHAN, I N D I A

    TEL: 0141-2396294 /09413566600(M)09950996294(M)

    EMAIL: [email protected]

     

    ACADEMIC EXPEIRIENCES

    1. Certificate course in LAPAROSOPIC   SURGERY: NOV.1997 - FMC New Delhi

    2…M.S (General Surgery): March 1982, I Attempt - S.M.S.Medical College/Rajasthan University

    3. Final MBBS                       : July 1977         -do-                            -do-

    4. Second MBBS                    : Oct 1975         -do-                             -do-

    5. First MBBS                        : March 1974     -do-                             -do-

    6. TDC Ist Year                      : July 1972    Hons.Physics                Maharaja’ College

    7. Higher Secondary               : March 1971 Hons.Biology/Chemistry     Rajasthan

    8. Secondary School               : March 1970 Hons.Biology                 Secondary Board

     

    PROFESSIONAL EXPERIENCES

    1. Rotatory Housemanship                        S.M.S Medical College, Jaipur.       1 Year

    2. Resident House Officer (Gen.Surg.)                   -do-                                    7 Months

    3. RHO (Orthopaedics)                                           -do-                                    2 Months

    4. RHO (Neuro Surg.)                                             -do-                                    2 Months

    5. RHO (Pediatric Surg.)                                        -do-                                     2 Months

    6. Resident Registrar (Gen.Surg./Oncology)          -do-                            1 Year&3Months

    7. Resident Senior Registrar (-do-)                         -do-                            1 year&3Months

     

    PROFESSIONAL EXPERIENCES

    1. Civil Assistant Surgeon Medical Health Deptt.Govt.of Rajasthan India

    2.Assistant Prof.Surgery & Consultant Surgeon-Shahid Rasi Hospital, Medical      University of Orumieh,West Azar Baijan,Iran..

    3. Consultant Surgeon-Rungta Hospital, Jaipur.

     

    TEACHING EXPERIENCES

    1. Assistant Prof. Surgery-Medical University Orumieh, West Azar Baijan, Iran.

    From 13th Sept.’84 to 3rd April’96(11Years&6Monts)

    2. Assistant  Prof. Surgery-NIMS Medical College & Hospital, Jaipur. From 6th Feb.2001 to 16th Feb. 2009.

    3. Associate Professor Surgery-NIMS Medical College and Hospital, Jaipur from 17th Feb 2009 to 16th Feb.2013

    4. Professor & Unit Head – General & Laparoscopic Surgery, NIMS University Medical College, Jaipur from 17th Feb.2013 till date.

     

    .

    PROFESSIONAL ACTIVITIES

    1. Epidemiological & Clinico-pathological study of Oral Cancer & Regional Lymph Nodes.

    2. Immediate Post Operative Adjuvant Chemotherapy in Early Breast Cancer.

    3. Clinical Presentation & Management of Male Breast Cancer.

    4. Medical Management of Advanced Breast Cancer.

    5. Post Operative Complications following Radical Neck Dissection.

    6. Chemotherapy in Head & Neck Cancers

    7. Epedemiology of Oral Cancers-Asian Cancer Conference 1984, New Delhi.

    8. DNB Coordinator, National Board of Examination, New Delhi.

    9. DNB Counselor, National Board of Examination, New Delhi.

    10. External and internal examiner – for MBBS and BDS examinations.

    11.DNB Postgraduate Examiner.

    MEMBERSHIP OF PROFESSIONAL SOCIETIES/ASSOCIATIONS

    1. Life member of Association of Surgeon of India (ASICON)

    2. Life member of ASIRAJ

    3. Life member of Friends Medical Centre, New Delhi

    4. Member of Rajasthan Medical Council.

    5. Life member of Indian Association of Gastrointestinal Endo-Surgeons

    (IAGES)

     

    REFERENCES

    1. Dr. P.K.Wanchoo.MS.FICS.FACS.Ex.Senior Prof.  &Head Deptt.of Surgery

    S.M.S. Medical College & Hospital Jaipur, India.

    2. Dr. Amit Modwal MS Prof. of ENT, NIMS Medical College, Jaipur.

    3. Dr. Mohd.Ali Nahali.Director & Chief. Medical& Health Organisation.Shahindeg, West Azar Baijan, Iran.

    4. Dr. B.S.Tomar Chairman and Chancellor, NIMS University & Prof. & Head.Deptt.of  Paediatrics Gastroenterology. NIMS University, Medical College & Hospital, Jaipur.

     

Published

2015-01-16

Issue

Section

Case Study