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Pyosalpinx in a virgin female patient misdiagnosed with adnexal torsion : a case report and narrative review
Joint Authors
Kazimi, Sayyidah Nida
Ardebili, Shahla Nuri
Yusufi, Nisrin
Arab, Maliheh
Husayni, Maryamsadat
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 21, Issue 6 (30 Jun. 2019), pp.1-5, 5 p.
Publisher
Publication Date
2019-06-30
Country of Publication
United Arab Emirates
No. of Pages
5
Main Subjects
Topics
Abstract EN
Introduction: Pelvic inflammatory disease (PID) is an infection of the upper genital tract often caused by ascending sexually transmitted infection.
However, this condition is very rare in preadolescent and adolescent virgin females who are not sexually active.
Pyosalpinx is a complication of PID and a cause of acute abdominal pain misdiagnosed due to similar abdominal emergencies.
Case Presentation: A 14-year-old virgin female patient was admitted to the Emergency Department of a secondary care general Hospital in Birjand City, South Khorasan Province, Iran, in 2017.
She presented with abdominal pain, nausea, vomiting, and fever started two days earlier.
She had no history of vaginal discharge.
Ultrasound findings indicated enlargement of the right ovary and a hypo-echogenic mass surrounded by a fluid; adnexal torsion suspected.
Another cystic lesion with a thick wall and 14 mm diameter was detected in the left ovary.
The patient underwent appendectomy four years earlier.
Laparatomy performed due to acute abdomen and pyosalpinx was real diagnosis.
The PubMed, Scopus, Clinical Key, and Up To Date were searched for articles published in the English language up to 2017, using various combinations of the following keywords (MeSH terms were not used): pyosalpinx, virgin, intact, entire, virtuous, Vestal, pure, and maiden.
Conclusions: Although rare, it is important to keep the pelvic infection in mind in the differential diagnosis of virgin female patients presenting with clinical symptoms of an acute abdomen, especially in the ones with the history of gastrointestinal and urinary tract infection or surgery.
American Psychological Association (APA)
Kazimi, Sayyidah Nida& Arab, Maliheh& Husayni, Maryamsadat& Ardebili, Shahla Nuri& Yusufi, Nisrin. 2019. Pyosalpinx in a virgin female patient misdiagnosed with adnexal torsion : a case report and narrative review. Iranian Red Crescent Medical Journal،Vol. 21, no. 6, pp.1-5.
https://search.emarefa.net/detail/BIM-895963
Modern Language Association (MLA)
Kazimi, Sayyidah Nida…[et al.]. Pyosalpinx in a virgin female patient misdiagnosed with adnexal torsion : a case report and narrative review. Iranian Red Crescent Medical Journal Vol. 21, no. 6 (Jun. 2019), pp.1-5.
https://search.emarefa.net/detail/BIM-895963
American Medical Association (AMA)
Kazimi, Sayyidah Nida& Arab, Maliheh& Husayni, Maryamsadat& Ardebili, Shahla Nuri& Yusufi, Nisrin. Pyosalpinx in a virgin female patient misdiagnosed with adnexal torsion : a case report and narrative review. Iranian Red Crescent Medical Journal. 2019. Vol. 21, no. 6, pp.1-5.
https://search.emarefa.net/detail/BIM-895963
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 5
Record ID
BIM-895963