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

The postmenopausal 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

Article information

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

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Cases and figures

  • Case 1
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