Pyometra with Mural Air on the Uterine Wall: A Case Report

Pyometra refers to pus accumulation in the uterine cavity, which is usually seen in older women. Because most sufferers present nonspecific symptoms, a correct diagnosis is usually not made until operation for a ruptured pyometra. Pyometra is seen as a fluid-distended uterus on computed tomography (CT). This report presents a case of pyometra with a unique appearance on computed tomography. It appears as mural air on the uterine wall, similar to that seen in emphysematous cystitis.