Sealed‐off spontaneous perforation of a pyometra diagnosed preoperatively by magnetic resonance imaging: A case report |
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| Authors: | Jonghyun Kim MD PhD Dong‐Hyu Cho MD Young‐Kon Kim MD Jeong‐Heon Lee MD PhD Young‐Ju Jeong MD PhD |
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| Affiliation: | 1. Department of Obstetrics and Gynecology, Chonbuk National University Medical School, Jeonju, South Korea;2. Research Institute of Clinical Medicine, Jeonju, South Korea;3. Department of Radiology, Chonbuk National University Medical School, Jeonju, South Korea |
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| Abstract: | : Spontaneous perforation is a very rare complication of pyometra. The clinical findings of perforated pyometra usually mimic perforation of the gastrointestinal tract. In most cases a correct diagnosis can be made only by laparotomy. In our case, the patient's pyometra was sealed and she complained only of mild abdominal pain and showed no signs of peritonitis. Ultrasonography and computed tomography (CT) findings were not suggestive of uterine rupture. However, T2‐weighted magnetic resonance imaging (MRI) demonstrated a full thickness defect of the myometrium. We discuss the CT and MRI findings that confirmed a correct diagnosis of perforated pyometra. J. Magn. Reson. Imaging 2010;32:697–699. © 2010 Wiley‐Liss, Inc. |
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| Keywords: | magnetic resonance imaging pyometra uterine rupture |
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