Idiopathic pyometra in a postmenopausal patient


      • Pyometra most commonly occurs in postmenopausal women as a result of cervical stenosis.
      • Patients with pyometra should be investigated for cervical or lower uterine segment malignancy.
      • If pyometra is left untreated, uterine perforation may occur.


      Pyometra is a rare gynecological condition most commonly seen in elderly, postmenopausal women. Malignancy should always be considered as the primary etiology until proven otherwise in the investigation of an intrauterine infection. Clinical signs and symptoms can be vague or nonexistent, and thorough investigation with ultrasound and cross-sectional imaging may be necessary to understand the extent of the disease and best course of treatment. We describe a case of idiopathic pyometra in a postmenopausal woman, as well as review the pathophysiology, investigation, and management of pyometra.


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