A misdiagnosed cause of chronic pelvic pain: abscess with foreign body
Yun Sung Jo1, Gui Se Ra Lee, Do Sang Lee
1Department of Obstetrics and Gynecology, The Catholic University of College of Medicine, Seoul Department of Surgery, Division of Gastrointestinal Surgery, The Catholic University of College of Medicine, Seoul, Korea.
Objective:
Chronic pelvic pain may present a diagnostic challenge.
Setting:
Academic tertiary care center.
Design:
Case report.
Case Report:
A 46-year-old woman presented with pain on micturition and a 15-month history of right-sided pelvic pain aggravated by an abdominal massage. Her course and outcome, aided by use of computed tomography (CT) scan, is described, identifying a 6-cm, mass-like lesion in the right lower quadrant enclosing an ambiguous linear calcified lesion, which on laparotomy revealed a fish bone embedded in a section of the terminal ileum and the perivesical area.
Conclusion:
Chronic pelvic pain refractory to treatment merits consideration of CT to examine for foreign body.
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