# Spontaneous Uterine Rupture Secondary to Pyometra in a Postmenopausal Patient

## TL;DR

An 86-year-old postmenopausal woman experienced a life-threatening uterine rupture caused by pyometra, diagnosed using CT imaging.

## Contribution

Highlights a rare but severe complication of pyometra in elderly women and emphasizes the role of CT in diagnosis.

## Key findings

- Pyometra can lead to spontaneous uterine rupture in postmenopausal women.
- CT imaging is critical for diagnosing pyometra and differentiating it from other abdominal conditions.
- Prompt diagnosis and treatment are essential to reduce mortality from this complication.

## Abstract

Pyometra is the accumulation of purulent material in the endometrial cavity. It is an uncommon condition in postmenopausal women that can lead to uterine rupture, a complication with high mortality if not treated promptly. Imaging studies, particularly computed tomography (CT), play a fundamental role in diagnosing this condition and excluding more common pathologies. We present the case of an 86-year-old female patient with an acute abdomen secondary to uterine rupture due to pyometra diagnosed via CT.