{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T09:00:33Z","timestamp":1781254833580,"version":"3.54.1"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:00:00Z","timestamp":1775865600000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pyometra, pus within the uterine cavity due to cervical obstruction, is uncommon in postmenopausal women, and spontaneous uterine rupture from pyometra is exceedingly rare but may cause severe peritonitis and sepsis; we report a 57\u2010year\u2010old postmenopausal woman who presented with foul vaginal discharge, progressive lower abdominal pain, fever, hypotension, and ultrasound evidence of turbid intraperitoneal fluid, whose contrast CT demonstrated an endometrial fluid collection with a defect in the posterior uterine wall communicating with the peritoneal cavity; despite initial resuscitation and broad\u2010spectrum antibiotics she deteriorated and underwent urgent exploratory laparotomy, which revealed ~1500\u2009mL of purulent ascites and a 3.0\u2010cm posterior uterine wall perforation, she had a total abdominal hysterectomy with bilateral salpingo\u2010oophorectomy and thorough peritoneal lavage, histopathology confirmed necrotizing endometritis\/pyometra without malignancy, and her postoperative recovery was uncomplicated with discharge on postoperative day 9; this case highlights the diagnostic challenge of ruptured pyometra, the value of CT when rupture is suspected, and the necessity of early surgical source control combined with antibiotics to improve outcomes.<\/jats:p>","DOI":"10.1002\/ccr3.72517","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T11:19:21Z","timestamp":1775906361000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Septic Peritonitis from Ruptured Pyometra: Case Report and Literature Review"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0061-6458","authenticated-orcid":false,"given":"Chernet T.","family":"Mengistie","sequence":"first","affiliation":[{"name":"School of Medicine, College of Health Sciences Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4647-111X","authenticated-orcid":false,"given":"Biruk T.","family":"Mengistie","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Health Sciences Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selam D.","family":"Temesgen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Health Sciences Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalab Y.","family":"Gete","sequence":"additional","affiliation":[{"name":"School of Medicine College of Medicine and Health Sciences, Bahir Dar University  Bahir Dar Ethiopia"},{"name":"EPIC Health Systems  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biruk Z.","family":"Bekele","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Health Sciences Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elias G.","family":"Bayu","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Health Sciences Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sileante M.","family":"Tamru","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Health Sciences Addis Ababa University  Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,11]]},"reference":[{"issue":"12","key":"e_1_2_14_2_1","article-title":"Massive Pyometra Due to Senile Endometritis in a Postmenopausal Woman: A Rare Entity","volume":"14","author":"Waghe T.","year":"2022","journal-title":"Cureus"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000013659"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mjafi.2012.08.012"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmh.jmh_6_24"},{"issue":"7","key":"e_1_2_14_6_1","first-page":"329","article-title":"Clinical Significance of Pyometra","volume":"60","author":"Lui M. W.","year":"2015","journal-title":"Journal of Reproductive Medicine"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2016.01.024"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ams2.657"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.931167"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofad500.281"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/1738521"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2015.08.029"},{"issue":"5","key":"e_1_2_14_13_1","article-title":"Spontaneous Uterine Perforation and the Diagnostic Value of Laparoscopy: A Case Report and Literature Review","volume":"17","author":"Hess K.","year":"2025","journal-title":"Cureus"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjac388"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2025.111157"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72517","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72517","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72517","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T08:42:41Z","timestamp":1781253761000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72517"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/ccr3.72517"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72517","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2026-01-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72517"}}