Ureterocele misdiagnosed as pelvic inflammatory disease in an adolescent
| Autor: | Jeffrey A. Triest, M.E. Abdallah, Valerie I. Shavell, Michael P. Diamond |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Adolescent Tuboovarian abscess Acute pelvic pain Pelvic Pain Ureter Pelvic inflammatory disease medicine Humans In patient Diagnostic Errors Ureterocele medicine.diagnostic_test business.industry Pelvic pain Obstetrics and Gynecology Cystoscopy medicine.disease Surgery body regions medicine.anatomical_structure Female medicine.symptom business Tomography X-Ray Computed Pelvic Inflammatory Disease |
| Zdroj: | Obstetrics and gynecology. 113(2 Pt 2) |
| ISSN: | 0029-7844 |
| Popis: | Background Acute pelvic pain in reproductive-aged women presents a diagnostic challenge. In the case that follows, we report the management of a patient initially misdiagnosed with pelvic inflammatory disease. Case A 14-year-old nulligravida who presented with acute pelvic pain was diagnosed with pelvic inflammatory disease and possible tuboovarian abscess. Despite treatment with broad-spectrum parenteral antibiotics, the patient remained febrile with persistent pelvic pain. Com-puted tomography revealed a duplicated right collecting system with the upper pole of the kidney drained by a markedly dilated, tortuous ureter. An infected ureterocele was identified and incised during cystoscopy. Conclusion An infected ureterocele was misdiagnosed as pelvic inflammatory disease. In patients with acute pelvic pain who do not respond to appropriate interventions, it is important to consider alternative diagnoses. |
| Databáze: | OpenAIRE |
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