A Young Woman With Abdominal Pain

Kuo, Vincent; Schmidt, Jason; Linder, Jeffrey D.

doi:10.1053/j.gastro.2014.10.045

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“…The evaluation of a young female patient in the emergency department often creates a diagnostic dilemma that has been highlighted repeatedly in the literature [ 10 – 17 ], to name but a few examples. However, in all those cases, CT or ultrasound imaging was helpful in obtaining the correct diagnosis.…”

Section: Discussionmentioning

confidence: 99%

A 41-Year-Old Patient with a Rare Cause of Severe Abdominal Sepsis Misdiagnosed as PID

Mikuscheva

Becker

Thompson‐Fawcett

2018

Case Reports in Surgery

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Infectious pelvic inflammatory disease is a common condition and a frequent cause of abdominal pain in a young female patient. In a patient who has not completed family planning, the diagnosis is often made with a low threshold and treatment started on a low suspicion of diagnosis to avoid a negative impact on fertility. Here, we present a case of a 41-year-old woman who was misdiagnosed with infectious pelvic inflammatory disease and treated ineffectively with antibiotics when the underlying condition of her persistent abdominal pain was a midgut neuroendocrine tumor that had caused bowel perforation and formation of an abscess in the pouch of Douglas.

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Section: Discussionmentioning

confidence: 99%