{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T11:11:40Z","timestamp":1771413100307,"version":"3.50.1"},"reference-count":7,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,5,25]],"date-time":"2006-05-25T00:00:00Z","timestamp":1148515200000},"content-version":"vor","delay-in-days":144,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Infectious Diseases in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2006,1]]},"abstract":"<jats:p>Spontaneous perforation of the uterus is rare, its incidence being about 0.01%\u20130.05%. We report a rare case of diffuse peritonitis caused by spontaneously perforated pyometra. A 63\u2010year\u2010old woman with severe abdominal pain was admitted to our hospital. Laparotomy was performed because of the suspicion of gastrointestinal perforation with generalized peritonitis. At laparotomy, about 900 mL of pus was found in the peritoneal cavity. There were no abnormal findings in the alimentary tract, liver, or gallbladder. A total abdominal hysterectomy with bilateral salpingo\u2010oophorectomy was performed. Pathological investigation of the surgical specimen revealed endometritis and myometritis of the uterus; but there was no evidence of malignancy, and the cervical canal was patent. Although spontaneously perforated pyometra is rare, a perforated pyometra should therefore also be considered when elderly women present with acute abdominal pain.<\/jats:p>","DOI":"10.1155\/idog\/2006\/60276","type":"journal-article","created":{"date-parts":[[2006,6,21]],"date-time":"2006-06-21T10:09:35Z","timestamp":1150884575000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Spontaneous Uterine Perforation due to Pyometra Presenting as Acute Abdomen"],"prefix":"10.1155","volume":"2006","author":[{"given":"Loabat","family":"Geranpayeh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohsen","family":"Fadaei-Araghi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Behnam","family":"Shakiba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,5,25]]},"reference":[{"key":"e_1_2_1_1_2","unstructured":"ChanL Y LauT K WongS F andYuenP M Pyometra. What is its clinical significance? 2001 46 no. 11 952\u2013956."},{"key":"e_1_2_1_2_2","doi-asserted-by":"crossref","unstructured":"InuiA NittaA YamamotoAet al. Generalized peritonitis with pneumoperitoneum caused by the spontaneous perforation of pyometra without malignancy: report of a case 1999 29 no. 9 935\u2013938.","DOI":"10.1007\/BF02482791"},{"key":"e_1_2_1_3_2","doi-asserted-by":"crossref","unstructured":"SamC HamidM A andSwanN Pyometra associated with retained products of conception 1999 93 no. 5 pt 2.","DOI":"10.1016\/S0029-7844(98)00478-5"},{"key":"e_1_2_1_4_2","doi-asserted-by":"crossref","unstructured":"GitaR JainK andVaidN B Spontaneous rupture of pyometra 1995 48 no. 1 111\u2013112.","DOI":"10.1016\/0020-7292(94)02241-0"},{"key":"e_1_2_1_5_2","unstructured":"HansenP TandLindholtJ Spontaneously perforated pyometra. A differential diagnosis in acute abdomen 1985 74 no. 6 294\u2013295."},{"key":"e_1_2_1_6_2","doi-asserted-by":"crossref","unstructured":"IwaseF ShimizuH KoikeH andYasutomiT Spontaneously perforated pyometra presenting as diffuse peritonitis in older females at nursing homes 2001 49 no. 1 95\u201396.","DOI":"10.1046\/j.1532-5415.2001.49017.x"},{"key":"e_1_2_1_7_2","doi-asserted-by":"crossref","unstructured":"NakaoA MimuraH FujisawaKet al. Generalized peritonitis due to spontaneously perforated pyometra presenting as pneumoperitoneum: report of a case 2000 30 no. 5 454\u2013457.","DOI":"10.1007\/s005950050624"}],"container-title":["Infectious Diseases in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2006\/060276.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/IDOG\/2006\/60276","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T20:04:38Z","timestamp":1717704278000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/IDOG\/2006\/60276"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2006,1]]}},"alternative-id":["10.1155\/IDOG\/2006\/60276"],"URL":"https:\/\/doi.org\/10.1155\/idog\/2006\/60276","archive":["Portico"],"relation":{},"ISSN":["1064-7449"],"issn-type":[{"value":"1064-7449","type":"print"}],"subject":[],"published":{"date-parts":[[2006,1]]},"assertion":[{"value":"2006-05-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"060276"}}