{"id":"W4293692837","doi":"10.1093/jscr/rjac388","title":"Spontaneous perforation of pyometra—is hysterectomy required in the emergent setting? A case report and literature review","year":2022,"lang":"en","type":"article","venue":"Journal of Surgical Case Reports","topic":"Endometriosis Research and Treatment","field":"Medicine","cited_by":17,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Calgary","funders":"","keywords":"Medicine; Pyometra; Hysterectomy; Hysteroscopy; Perforation; Peritonitis; Surgery; Septic shock; Malignancy; Uterine perforation; Sepsis; Uterus; Internal medicine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0004215255,0.0012464,0.001011839,0.004448223,0.001367063,0.001909882,0.001695686,0.003431451,0.002297104],"category_scores_gemma":[0.002340001,0.000549158,0.0006727881,0.00429708,0.00187902,0.002648943,0.001115418,0.001674408,0.0008906917],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0006885762,"about_ca_system_score_gemma":0.0009694383,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0008457474,"about_ca_topic_score_gemma":0.001079656,"domain_scores_codex":[0.9992811,0.0001088284,0.0002288612,0.0001469944,0.0001235094,0.0001107469],"domain_scores_gemma":[0.9982818,0.0006516073,0.000689066,0.00007801556,0.0001242796,0.0001752637],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"case_report","study_design_gemma":"case_report","study_design_scores_codex":[0.00004027118,0.00007334266,0.01234636,0.001891421,0.00006569718,0.9555659,0.0004556158,0.0002051576,0.0006697417,0.0005908142,0.005005747,0.02309003],"study_design_scores_gemma":[0.000005117396,0.00002137807,0.00272363,0.0005219285,0.00004379347,0.9885272,0.0005410215,0.0001080999,0.0001736092,0.0003597684,0.006956629,0.00001783556],"study_design_candidate":"case_report","study_design_consensus":"case_report","genre_codex":"review","genre_gemma":"empirical","genre_scores_codex":[0.1479086,0.8228817,0.004294837,0.007582591,0.003094567,0.0002205251,0.0003515617,0.0002377461,0.01342792],"genre_scores_gemma":[0.4967885,0.4850451,0.002344482,0.003782594,0.00974875,0.00009068833,0.0003963189,0.00003898415,0.001764593],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.004448223,"threshold_uncertainty_score":0.007684588,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02414542843404278,"score_gpt":0.3371378072863746,"score_spread":0.3129923788523318,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}