Publication:

A silent breach, a collapsing bowel: deadly convergence of uterine perforation and gut ischemia

An unusual presentation of postmenopausal women presenting as acute abdominal case with obstipation for 1 day with picture of sepsis. On further evaluation X Ray abdomen indicated air under diaphragm and provisional diagnosis of intestinal perforation was made. Patient underwent exploratory laparotomy for the same and intraoperatively it turned out to be relatively uncommon a case of non-traumatic spontaneous uterine perforation in a non-gravid uterus along with small bowel gangrene. This report highlights the diagnostic challenges and management considerations.