Pyometrium refers to infection of the endometrial cavity with resulting expansion due to accumulated pus (pyometra).

The post-menopausal demographic are most commonly affected due to the association with uterine malignancy.



Radiographic features

  • tenderness to uterine palpation
  • distended uterine cavity containing complex (echogenic) fluid
    • may contain gas bubbles or gas-fluid level
  • hyperemic endometrium
  • complex free fluid in the pouch of Douglas
  • distended uterine cavity
  • complex endometrial fluid
    • may demonstrate gas-fluid level
  • inflammatory stranding in the parametrial fat
  • complex free fluid in the pouch of Douglas
  • hyperenhancing endometrium
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Article information

rID: 1943
System: Gynaecology
Section: Gamuts
Tag: cases
Synonyms or Alternate Spellings:
  • Pyometra

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Cases and figures

  • Case 1
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