• Pain Med · Sep 2014

    Case Reports

    A misdiagnosed cause of chronic pelvic pain: abscess with foreign body.

    • Yun Sung Jo, Gui Se Ra Lee, Do Sang Lee, and Sa Jin Kim.
    • Department 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.
    • Pain Med. 2014 Sep 1;15(9):1637-9.

    ObjectiveChronic pelvic pain may present a diagnostic challenge.SettingAcademic tertiary care center.DesignCase report.Case ReportA 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.ConclusionChronic pelvic pain refractory to treatment merits consideration of CT to examine for foreign body.Wiley Periodicals, Inc.

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