Although rare, perforation of pyometra should be kept as one of the differential diagnosis in an elderly woman with an acute abdomen. A high index of suspicion is required to make a correct ...

Complications are perforation, hemorrhage ... Unfortunately, it is misdiagnosed 50% of the time. [13] Abdominal and pelvic CT scans can usually help with the diagnosis. Early diverticulitis ...

Subsequent computed tomography (CT) showed a radiodense ... converted to longitudinal lower abdominal laparotomy owing to extensive adhesions. The intestinal perforation was located in the ileum ...