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

子宮蓄膿症表現出子宮壁上的氣體：病例報告

盧怡穎(Yi-Ying Lu)；范君凱(Jiun-Kai Fan)

中華放射線醫學雜誌

35卷4期（2010 / 12 / 01）

233 - 236

英文

子宮蓄膿症是指因嚴重的細菌感染，而導致膿液蓄積在子宮腔內的疾病。子宮蓄膿症通常發生在老年婦女。因為大部分的患者臨床症狀沒有特異性，在子宮蓄膿還沒有破掉造成腹膜炎而開刀之前，往往很難正確的診斷出來。以往的報告指出，此病症在電腦斷層影像的表現為一個漲大且充滿液體的子宮。現在我們在這裡報告的子宮蓄膿症的病例，在電腦斷層影像，除了漲大的子宮之外，還表現出了在子宮壁上的氣體，就像產氣性膀胱炎表現出在膀胱壁上的氣體一樣。這是一個在電腦斷層影像上具有特異性，且以往沒有被報告過的特徵。

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.