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)


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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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


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