Japanese Journal of Radiology

, Volume 28, Issue 3, pp 247–249 | Cite as

Computed tomography findings of spontaneous perforation of pyometra

  • Jun-ichi IzumiEmail author
  • Hiroko Hirano
  • Hiroshi Yoshioka
  • Jun Takisawa
Case Report


We report herein a case of spontaneous perforation of pyometra leading to diffuse peritonitis. This pathological condition is rare, and preoperative diagnosis is difficult. We were able to make the correct diagnosis preoperatively using contrast-enhanced abdominopelvic computed tomography. Both intrauterine and extrauterine fluid collections and defects of the uterine fundus were key findings, and reconstructed sagittal and coronal images were useful. In elderly female patients presenting with acute abdomen, ruptured pyometra should be considered as a possibility.

Key words

Pyometra Rupture Perforation CT 


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Copyright information

© Japan Radiological Society 2010

Authors and Affiliations

  • Jun-ichi Izumi
    • 1
    Email author
  • Hiroko Hirano
    • 1
  • Hiroshi Yoshioka
    • 2
  • Jun Takisawa
    • 3
  1. 1.Department of RadiologyYokote Municipal HospitalYokoteJapan
  2. 2.Department of SurgeryYokote Municipal HospitalYokoteJapan
  3. 3.Department of GynecologyYokote Municipal HospitalYokoteJapan

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