PMC8568552_01
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.
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No free fluid was noted in the pelvis (Figure 1).
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.
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A CT scan of the abdomen and pelvis with contrast (Figure 2) and pelvic ultrasound (Figure 3) was consistent with a pyometra.
Transvaginal ultrasound performed in the emergency department. Foul-smelling discharge noted in addition to heterogeneous material and air within the uterus.
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fig3
A CT scan of the abdomen and pelvis with contrast (Figure 2) and pelvic ultrasound (Figure 3) was consistent with a pyometra.
Pelvic anatomy at the time of hysterectomy, bilateral salpingectomy. Minimal adhesions noted and uterus did not appear enlarged.
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fig4
The total laparoscopic hysterectomy and bilateral salpingectomy was uncomplicated with a normal-appearing uterus and minimal pelvic adhesions (Figure 4).