“…Pyometra is defined as a chronic inflammatory process of the endometrium with the accumulation of purulent exudates in the uterine cavity caused by interference with its natural drainage. [1] It is an uncommon condition with a reported incidence ranging from 0.1% to 0.5% and an incidence approaching 13.6% in postmenopausal women [1,2,3] It is associated with benign or malignant gynecological tumors, colorectal tumors, radiation cervicitis, congenital anomalies, puerperal infections and intrauterine devices. [4] Pyometra develops gradually and with progression it will lead to enlargement of the uterus, causing degenerative changes that may rarely lead to sloughing of the uterine wall with subsequent spillage of contents into the abdominal cavity.…”