Spontaneous Uterine Perforation Presenting with Acute Abdominal Pain is a Rare Gynecologic Emergency Condition: Three cases report
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Abstract
Uterine perforation is a rare but serious gynecologic condition, most commonly associated with induced procedures. However, spontaneous uterine perforation due to infection and pyometra has been reported, though data is limited. Severe complications, including purulent peritonitis and sepsis, can lead to high morbidity and mortality rates.
This case report presents three patients admitted to Lerdsin Hospital with generalized peritonitis, requiring emergency surgery, and diagnosed with spontaneous uterine perforation. The patients had distinct clinical courses and final diagnoses, including necrotizing endometritis, advanced cervical cancer, and endometrial carcinoma. Despite varying clinical courses, all patients had favorable outcomes with timely intervention.
Spontaneous uterine perforation is a life-threatening condition with high morbidity and mortality, requiring consideration in acute peritonitis diagnosis. In order to avoid lethal consequences, optimal management is essential, which includes early detection and timely surgery.
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