SPONTANEOUS RUPTURE OF UTERUS ASSOCIATED WITH PYOMETRA PRESENTING AS AN ACUTE ABDOMEN

Spontaneous rupture of uterus associated with pyometra in an elderly postmenopausal women is a rare pathological condition presenting as an acute abdomen.We report a case in which an elderly patient was admitted in our hospital with signs and symptoms of an acute abdomen and provisional diagnosis of perforative peritonitis was made.But laparotomy revealed spontaneous rupture of uterus with pus in the peritoneal cavity and has been managed successfully with total hysterectomy and bilateral salphingo-oopherectomy.So far only 22 cases have been reported in the medical literature.This paper reports an additional case of spontaneous rupture uterus associated with pyometra.