Spontaneous Rupture of Pyometra Causing Peritonitis in Elderly Female Diagnosed on Dynamic Transvaginal Ultrasound

Figure 2

(a) Axial contrast enhanced CT in venous phase reveals pyometra communicating with peritoneal collection through defect in anterior wall of the uterus near fundus. Free nondependant air with smooth peritoneal enhancement suggesting pyopneumoperitoneum. (b) Sagittal contrast enhanced CT in venous phase reveals pyometra communicating with peritoneal collection through defect in anterior wall of the uterus near fundus. (c) Coronal contrast enhanced CT abdomen in venous phase reveals pyometra communicating with peritoneal collection through defect in the uterus near fundus.

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