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CASE REPORT
Spontaneous rupture of the non-gravid uterus
  1. Leong Chee Weng1,
  2. Tulsi Menon2,
  3. Graham Hool2
  1. 1Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2Department of General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia
  1. Correspondence to Dr Leong Chee Weng, Dleong87{at}gmail.com

Summary

A 71-year-old woman presents with acute onset abdominal pain with sepsis. Initial workup with an abdominal CT scanning revealed intraperitoneal air with an enlarged uterus and thickened small bowel loops. Haemodynamic instability with sepsis prompted urgent laparotomy. At laparotomy, spontaneous perforation of the uterus was identified. The cause was due to infarction of the myometrium. This occurred on a background of not having any previous instrumentation of the uterus.

https://doi.org/10.1136/bcr-2013-008895

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