Clinical Case Database / Category: Case Based Discussion
Acute pelvic inflammatory disease
Publication details
Sandra Sasson MD MRCOG, Varsha Mulik MD MRCOG
Foundation Years Journal, volume 2, issue 3, p.128 (123Doc Education, London, March 2008)
Abstract
A 19-year-old woman presented to Accident and Emergency with a history of worsening lower abdominal pain of 5 days duration. This was associated with an abnormal vaginal discharge. On examination, she was febrile with a tender abdomen and cervical excitation. High vaginal and endocervical swabs were taken. A pregnancy test was negative. A transvaginal ultrasound scan revealed an adnexal mass. At laparoscopy, access was difficult due to adhesions. Hence laprotomy was performed with drainage of pelvic abscess and adhesiolysis.
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Authors
Sandra Sasson MD MRCOG
Specialist Registrar in Obstetrics & Gynaecology
Department of Obstetrics & Gynaecology
Tameside General Hospital
Varsha Mulik MD MRCOG (Corresponding author)
Consultant in Obstetrics & Gynaecology
Department of Obstetrics & Gynaecology
Tameside General Hospital
Ashton-under-Lyne
OL6 9RW
References
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5. Centres for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2002. MMWR Morb Mortal Wkly Rep 2002;55:1–84.
6. British National Formulary, accessed on 10th February 2008.
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11. Reich H, McGlynn F . Laparoscopic treatment of tuboovarian and pelvic abscess. J Reprod Mad 1987;21:63–5.
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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