Cooke classified perforation of the uterus based on the status of the woman and the uterus. The author is fro the Queen Elizabeth Hospital of Montreal.


Initial triage:

(1) nonpregnant

(2) pregnant


Nonpregnant woman:

(1) normal uterus, childbearing age

(2) atrophic uterus, postmenopausal

(3) uterus with pathologic lesion


Pregnant woman:

(1) clean therapeutic abortion

(2) completion of an incomplete abortion

(3) criminal or amateur abortion


Differential diagnosis:

(1) penetrating trauma

(2) blunt trauma with rupture

(3) rupture of a cesarean section scar


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