J Korean Soc Emerg Med.  2021 Dec;32(6):716-719.

Large pyometra mimicking the distended bladder in a postmenopausal female patient

• Kim SE
• Yoon JC
• Jeong TO
• Jin YH
• Lee JB

Abstract

Pyometra is a rare clinical entity, leading to life-threatening complications, such as perforation of the uterus and peritonitis, when the diagnosis is delayed. Emergency department physicians should take into consideration whether older women have a fever and abdominal pain. Early surgical drainage and the diagnosis of pyometra should be confirmed. An 89-year-old woman was admitted to the emergency department because of fever and general fatigue. We reported a clinical case of a postmenopausal woman with a large pyometra, which was misdiagnosed as a distended bladder filled with urine.

Keyword

Pyometra; Uterus; Bladder; Postmenopause; Pelvic inflammatory disease