case_images: PMC8568552_01
case_images: Transvaginal ultrasound performed in clinic for evaluation of abnormal uterine bleeding. Endometrial thickness was noted to be 4.70 mm with a uterine length of 9.1 cm and width of 8.2 cm.
case_images: CRIOG2021-7995348.001.jpg
case_images: PMC8568552_01_CRIOG2021-7995348.001.jpg
case_images: fig1
case_images: No free fluid was noted in the pelvis (Figure 1).
case_images: CT scan with contrast at time of presentation to the emergency department. Gas fluid collection was noted to measure up to 13 cm in length, 6 cm in width, and 5 cm in height. Findings concerning for abscess/pyometra.
case_images: CRIOG2021-7995348.002.jpg
case_images: PMC8568552_01_CRIOG2021-7995348.002.jpg
case_images: fig2
case_images: A CT scan of the abdomen and pelvis with contrast (Figure 2) and pelvic ultrasound (Figure 3) was consistent with a pyometra.
case_images: Transvaginal ultrasound performed in the emergency department. Foul-smelling discharge noted in addition to heterogeneous material and air within the uterus.
case_images: CRIOG2021-7995348.003.jpg
case_images: PMC8568552_01_CRIOG2021-7995348.003.jpg
case_images: fig3
case_images: A CT scan of the abdomen and pelvis with contrast (Figure 2) and pelvic ultrasound (Figure 3) was consistent with a pyometra.
case_images: Pelvic anatomy at the time of hysterectomy, bilateral salpingectomy. Minimal adhesions noted and uterus did not appear enlarged.
case_images: CRIOG2021-7995348.004.jpg
case_images: PMC8568552_01_CRIOG2021-7995348.004.jpg
case_images: fig4
case_images: The total laparoscopic hysterectomy and bilateral salpingectomy was uncomplicated with a normal-appearing uterus and minimal pelvic adhesions (Figure 4).