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Case Report

Ann Med Res. 2008; 15(2): 121-123


Pyometra Causing of Diagnostic Discrepancy in a Case with Uterin Malformation

Gülnur Erdem*, Önder Çelik**, Ahmet Kemal Fırat*, Şeyma Hasçalık**, Hakkı Muammer Karakaş*

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Abstract


The accumulation of purulent material in uterine cavity is called as pyometra. It occurs as a result of cervical stenosis. The main symptoms  are fever, pain and vaginal discharge. In the diagnosis of pyometra, magnetic resonance imaging (MRI) is superior than ultrasonography (US) and computed tomography (CT). If the cases with uterin malformation were only evaluated with computed tomography and purulent material is in one of the cavities, it may be evaluated as pelvic abscess by mistake. In our case misdiagnosed as mentioned, double uterine cavities and purulent material in one of them were detected on MR images. The importance of MRI in diagnosis of cases with pyometra has been emphasized.         

Key Words: Uterine malformation, pyometra, magnetic resonance imaging.






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