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Spontaneous perforation of pyometra presenting as acute abd..:

Yin, Wan-Bin ; Wei, Yan-Hua ; Liu, Guang-Wei...
The American Journal of Emergency Medicine.  34 (2016)  4 - p. 761.e3-761.e5 , 2016
Link: https://doi.org/10.1016/j.ajem.2015.08.029