Open AccessA Misdiagnosed Cause of Chronic Pelvic Pain: Abscess with Foreign Body
Author(s) -
Jo Yun Sung,
Lee Gui Se Ra,
Lee Do Sang,
Kim Sa Jin
Publication year - 2014
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/j.1526-4637.2011.01248.x
Subject(s) - medicine , pelvic pain , fish bone , urination , lesion , radiology , surgery , abdominal pain , abscess , laparotomy , quadrant (abdomen) , foreign body , back pain , chronic pain , urinary system , physical therapy , anatomy , fishery , fish <actinopterygii> , biology , alternative medicine , pathology
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.