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Mouse Models of Epididymitis Induced by Pathogen-Associated Molecular Patterns
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Mouse Models of Epididymitis Induced by Pathogen-Associated Molecular Patterns

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Acute Salpingitis in a Nonsexually Active Adolescent.

Daniel M Fein1, Catherine Sellinger, Michele J Fagan

  • 1From the Division of Pediatric Emergency Medicine, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, NY.

Pediatric Emergency Care
|December 3, 2015
PubMed
Summary
This summary is machine-generated.

Acute salpingitis, a rare cause of abdominal pain in adolescents, can present even in non-sexually active individuals. This case highlights the diagnostic challenges and rare etiology of this condition in young patients.

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Area of Science:

  • Pediatric Surgery
  • Gynecologic Pathology
  • Emergency Medicine

Background:

  • Acute salpingitis is an infrequent cause of acute surgical abdomen, particularly in non-sexually active adolescents.
  • Adolescent abdominal pain requires careful differential diagnosis, considering both common and rare etiologies.
  • Pre-existing conditions like ovarian cysts can complicate the clinical presentation.

Observation:

  • A 12-year-old female with a history of appendectomy and a recent ovarian cyst diagnosis presented with acute abdominal pain, urinary symptoms, and fever.
  • The patient exhibited signs of severe illness, progressing to uncompensated septic shock despite initial medical management.
  • Diagnostic workup was challenging due to the patient's history and atypical presentation.

Findings:

  • Exploratory laparotomy revealed acute bilateral salpingitis as the underlying cause of the patient's severe abdominal symptoms.
  • This diagnosis is exceptionally rare in a non-sexually active adolescent with the presented clinical features.
  • The case underscores the importance of considering unusual causes of abdominal pathology in pediatric patients.

Implications:

  • This case emphasizes the diagnostic complexities in evaluating abdominal pain in adolescent girls.
  • It highlights acute salpingitis as a rare but critical differential diagnosis in this demographic, irrespective of sexual activity.
  • Clinicians should maintain a high index of suspicion for uncommon causes of acute surgical abdomen in adolescents.