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Yamada T, Ando M, Shibata N,           <i>et al.<\/i>Spontaneous peroration of pyometra presenting as acute abdomen and pneumoperitoneum mimicking those of gastrointestinal origin. Case Rep Surg,          <b>2015<\/b>: 548481, 2015.","DOI":"10.1155\/2015\/548481"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6.  Yildizhan B, Uyar E, Sismanoglu A,           <i>et al.<\/i>Spontaneous perforation of pyometra. Infect Dis Obstet Gynecol,          <b>2006<\/b>: 26786, 2006.","DOI":"10.1155\/IDOG\/2006\/26786"},{"key":"7","doi-asserted-by":"crossref","unstructured":"8.  Imachi M, Tanaka S, Ishikawa S,           <i>et al.<\/i>Spontaneous perforation of pyometra presenting as generalized peritonitis in a patient with cervical cancer. Gynecol Oncol,          <b>50<\/b>: 384-388, 1993.","DOI":"10.1006\/gyno.1993.1231"},{"key":"8","unstructured":"9.  Ikeda M, Takahashi T, Kurachi H. Spontaneious perforation fo pyometra: a report of seven cases and review of the literature. Gynecol Obstet Invest,           <b>75<\/b>: 243-249, 2013."},{"key":"9","doi-asserted-by":"crossref","unstructured":"10.  Geranpayeh L, Fadanei-Araghi M, Shakiha B. Spontaneous uterine perforation due to pyometra presenting as acute abdomen. Infect Dis Obstet Gynecol,           <b>2006<\/b>: 60276, 2006.","DOI":"10.1155\/IDOG\/2006\/60276"},{"key":"10","unstructured":"11.  Ou YC, Lan KC, Lin H,           <i>et al.<\/i>Clinical characteristic of perforated pyometra and impending perforation: specific issue in gynecological emergency. J Obstet Ggynaecol Res,          <b>36<\/b>: 661-666, 2010."},{"key":"11","unstructured":"12.  Shapey IM, Nasser T, Dickens P,           <i>et al.<\/i>Spontaneously perforated pyometra: an unusual case of acute abdomen and pnumoperitoneum. Annals of the Royal College of Surgeons f England,          <b>94<\/b>(8): e246-e248, 2012."},{"key":"12","doi-asserted-by":"crossref","unstructured":"13.  Uno K, Tano S, Yoshihara M,           <i>et al.<\/i>A case report and literature review of spontaneous perforation of pyometra. J Emerg Med,          <b>50<\/b>: e231-e236, 2016.","DOI":"10.1016\/j.jemermed.2016.01.024"},{"key":"13","doi-asserted-by":"crossref","unstructured":"14.  Omori H, Ssahi H, Inoue Y,           <i>et al.<\/i>Pnrumoperitonum without perforation of the gastrointestinal tract. Digestive Surgery,          <b>20<\/b>: 334-338, 2003.","DOI":"10.1159\/000071762"},{"key":"14","doi-asserted-by":"crossref","unstructured":"15.  Patil V, Patil S, Shiragur S,           <i>et al.<\/i>Spontaneous rupture of pyometra-a rare cause of peritonitis in elderly female. J Clinc Diagn Res,          <b>7<\/b>: 1735-1736, 2013.","DOI":"10.7860\/JCDR\/2013\/5393.3272"},{"key":"15","unstructured":"16.  Chauhan\u00a0A,\u00a0Sharma MM,\u00a0Banerjee JK. Spontaneous perforation\u00a0of\u00a0pyometra: A rare cause of diffuse peritonitis. Med J Armed Forces India,           <b>71<\/b>: 192-193, 2015."},{"key":"16","unstructured":"17.  Singh A,\u00a0Mundhra R,\u00a0Agarwal T,\u00a0          <i>et al.<\/i>Spontaneous rupture of pyometra manifesting as an acute abdomen: a case report. Trop Doct,          <b>45<\/b>: 200-203, 2015."},{"key":"17","unstructured":"19.  Yin WB,\u00a0Wei YH,\u00a0Liu GW,           <i>et al.<\/i>Spontaneous\u00a0perforation\u00a0of\u00a0pyometra\u00a0presenting as acute abdomen: a rare condition with considerable mortality. Am J Emerg Med,          <b>34<\/b>: 761.e3-5, 2016."},{"key":"18","unstructured":"20.  Konishi Y,\u00a0Kagabu S,\u00a0Mori K,           <i>et al.<\/i>Uterine\u00a0perforation\u00a0of\u00a0pyometra\u00a0in a cervical cancer: A case report and literature review. J Obstet Gynaecol,          <b>36<\/b>: 378-379, 2016."},{"key":"19","doi-asserted-by":"crossref","unstructured":"21.  Sharma N,\u00a0Singh AS,\u00a0Bhaphiralyne W. Spontaneous\u00a0Perforation\u00a0of\u00a0Pyometra. 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