en 23926508 Background: By presenting this case we aimed to describe an uncommon complication of generalized peritonitis following spontaneous pyometra perforation in untreated cervical carcinoma. Case Presentation: This report describes a 60-year-old postmenopausal woman presenting with clinical features mimicking intestinal perforation who was later diagnosed as cervical carcinoma with pyometra perforation at exploratory laparotomy. The patient had good post-operative recovery following drainage and peritoneal lavage. Conclusion: Spontaneous pyometra perforation in a case of untreated carcinoma of cervix is a rare condition, yet it should be suspected and kept in the differential diagnosis of acute abdomen in elderly women. Acute abdomen, Cervical cancer, Perforation, Pyometra 235 239 https://www.jri.ir/article/473 https://www.jri.ir/documents/fullpaper/en/473.pdf RachnaAgarwalDepartment of Obstetrics and Gynecology, University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, New Delhi, IndiaRachnaAgarwalRachna_anila@yahoo.co.in959AmitaSunejaDepartment of Obstetrics and Gynecology, University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, New Delhi, IndiaAmitaSuneja960AbhaSharmaDepartment of Obstetrics and Gynecology, University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, New Delhi, IndiaAbhaSharma961NeelamBala VaidDepartment of Obstetrics and Gynecology, University College of Medical Sciences and Associated Guru Teg Bahadur Hospital, New Delhi, IndiaNeelamBala Vaid962