Seyyedeh Neda Kazemi; Maliheh Arab; Maryamossadat Hosseini; Shahla Noori Ardebili; Nasrin Yousefi
Volume 21, Issue 6 , 2019, Pages 1-5
Abstract
Introduction: Pelvic inflammatory disease (PID) is an infection of the upper genital tract often caused by ascending sexually trans- mitted 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 ...
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Introduction: Pelvic inflammatory disease (PID) is an infection of the upper genital tract often caused by ascending sexually trans- mitted 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 pa- tients presenting with clinical symptoms of an acute abdomen, especially in the ones with the history of gastrointestinal and uri- nary tract infection or surgery.
Donya Khosravi; Maliheh Arab; Behnaz Ghavami; Maryam Shokrpour; Samaneh Sheibani; Samaneh Saraeian
Volume 19, Issue 1 , January 2017, , Pages 1-5
Abstract
Introduction: This was a report of uterocutaneous fistula as a rare complication of expectant management of placenta increta, and a review of the literature.Case Presentation: A 38- year- old pregnant woman in her third term of pregnancy was operated on in a secondary hospital in Arak (a city located ...
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Introduction: This was a report of uterocutaneous fistula as a rare complication of expectant management of placenta increta, and a review of the literature.Case Presentation: A 38- year- old pregnant woman in her third term of pregnancy was operated on in a secondary hospital in Arak (a city located in the center of Iran) in April 2015. As a result of placenta incereta, the attached placenta was left in the uterus. On the 38th day, she was referred to our tertiary care hospital due to intermittent fever and bleeding. More examinations by MRI and hystrosalpingography revealed uterocutaneous fistula. She was operated on again, and surgical findings indicated coexistent uterine necrosis and uterocutaneous fistula.Conclusions: This case was the first reported morbidity of fistula in the uterocutaneous pathway.
