Pyometrium

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.

Pathology

Causes

Radiographic features

US
  • tenderness to uterine palpation
  • distended uterine cavity containing complex (echogenic) fluid
    • may contain gas bubbles or gas-fluid level
  • hyperaemic endometrium
  • complex free fluid in the pouch of Douglas
CT
  • 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
Share article

Article information

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

Support Radiopaedia and see fewer ads

Cases and figures

  • Drag
    Case 1
    Drag here to reorder.
  • Updating… Please wait.
    Loadinganimation

    Alert accept

    Error Unable to process the form. Check for errors and try again.

    Alert accept Thank you for updating your details.