Japanese journal of infectious diseases
-
Jpn. J. Infect. Dis. · Nov 2008
Case ReportsSpontaneous perforated pyometra with an intrauterine device in menopause: a case report.
Spontaneous perforation of the uterus is rare and only several cases have been reported in the English medical literature. Most of the patients had gynecological malignancy and almost all were associated with cervical occlusion. ⋯ This case differs from others in that the cervical canal was not occluded. In the absence of other possible causes of uterine perforation, the etiology in this case is mostly likely hemorrhagic necrosis related to the long-term IUD.