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pelvic pain/vomiting

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Transvaginal ultrasonographic identification of appendicitis in a setting of chronic pelvic pain and endometriosis.

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Our patient had a history of chronic endometriosis and pelvic pain and complained of recent onset of right-sided abdominal pain, nausea, and vomiting. Transvaginal ultrasonography revealed a thick-walled mass superior and medial to the right ovary, which was thought to be an inflamed appendix. The

Uncommon cause of acute pelvic pain: isolated torsion of hydrosalpinx.

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Isolated torsion of hydrosalpinx is a rare cause of acute pelvic pain. Pre-operative diagnosis is very difficult because of non specific clinical presentation. Definitive diagnosis is always made at surgical exploration performed for suspected adnexal torsion and salpingectomy is performed in the

Laparoscopy in women with chlamydial infection and pelvic pain: a comparison of patients with and without salpingitis.

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A review was made of clinical and laboratory findings in 104 women who, during 1978 to 1981, were subjected to laparoscopy because of symptoms suggestive of acute salpingitis, and who harbored Chlamydia trachomatis but not Neisseria gonorrhoeae in the genital tract. The patients with acute

ACR Appropriateness Criteria® Acute Pelvic Pain in the Reproductive Age Group.

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Premenopausal women who present with acute pelvic pain frequently pose a diagnostic dilemma, exhibiting nonspecific signs and symptoms, the most common being nausea, vomiting, and leukocytosis. Diagnostic considerations encompass multiple organ systems, including obstetric, gynecologic, urologic,

ACR Appropriateness Criteria on acute pelvic pain in the reproductive age group.

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Premenopausal women who present with acute pelvic pain frequently pose a diagnostic dilemma, exhibiting nonspecific signs and symptoms, the most common being nausea, vomiting, and leukocytosis. Diagnostic considerations encompass multiple organ systems, including obstetric, gynecologic, urologic,

A 3-year-old female with abdominal pain, vomiting, and an abdominal mass.

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We present a case of a 3-year-old female with a 10-day history of lower abdominal pain, distention, and vomiting, as well as fatigue, low-grade fever, and subjective weight loss who was found to have utero-ovarian torsion with pathology revealing hemorrhagic and infarcted tissue. While the

ACR Appropriateness Criteria® Acute Pelvic Pain in the Reproductive Age Group.

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Acute pelvic pain in premenopausal women frequently poses a diagnostic dilemma. These patients may exhibit nonspecific signs and symptoms such as nausea, vomiting and leukocytosis. The cause of pelvic pain includes a myriad of diagnostic possibilities such as obstetric, gynecologic, urologic,

Ovarian Hyperstimulation Caused by Gonadotroph Pituitary Adenoma--Review.

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Ovarian hyperstimulation syndrome (OHSS) occurs mostly as an iatrogenic complication of assisted reproductive technology. Gonadotroph pituitary adenomas are rarely associated with OHSS. To the authors' knowledge, to date only 30 cases of spontaneous ovarian stimulation associated with gonadotroph

Evaluation of the Diagnostic Accuracy of Serum D-Dimer Levels in Pregnant Women with Adnexal Torsion.

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We aimed to evaluate the diagnostic accuracy of serum D-dimer levels in pregnant women with adnexal torsion (AT). The pregnant women with ovarian cysts who suffered from pelvic pain were divided into two groups; the first group consisted of the cases with surgically proven as AT (n = 17) and the

Adnexal torsion: a predictive score for pre-operative diagnosis.

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BACKGROUND Adnexal torsion (AT) is difficult to diagnose and requires immediate surgery. The aim of this study was to develop a simple score for assisting in the pre-operative diagnosis of AT in women with acute pelvic pain. METHODS Using data from a retrospective cohort of 142 patients with acute

Isolated fallopian tube torsion in adolescents.

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Background. Fallopian tube torsion is a rare cause of acute abdomen, occurring commonly in females of reproductive age. It lacks pathognomonic symptoms, signs, or imaging features, thus causing delay in surgical intervention. Case. We report two cases of isolated fallopian tube torsion in adolescent

Clinical and sonographic predictors of adnexal torsion in pediatric and adolescent patients.

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OBJECTIVE To investigate the accuracy of torsion diagnosis in the pediatric and adolescent population. METHODS This retrospective study included 87 patients <18years who presented with acute pelvic pain and were operated for suspected adnexal torsion from January 2009 to September

Is a standardized questionnaire useful for tubal rupture screening in patients with ectopic pregnancy?

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OBJECTIVE Physical examination, ultrasonography, and laboratory tests fail to reliably establish the preoperative diagnosis of tubal rupture in patients with ectopic pregnancy (EP), leading to a high rate of diagnostic laparoscopy. The aim of this study was to construct and to evaluate a clinical

Endometriosis within the sigmoid colon/extragenital endometriosis.

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Endometriosis is the presence of endometrial glands and stroma outside the uterine cavity. Although it is common in women in the reproductive age, intestinal endometriosis is extremely rare and may lead to serious clinical problems. In this article, we present two rare cases of endometriosis

Isolated torsion of the fallopian tube: a case report and review of the literature.

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BACKGROUND Isolated torsion of the fallopian tube is a very rare condition. It occurs without ipsilateral ovarian involvement associated with pregnancy, haemosalpinx, hydrosalpinx, ovarian or paraovarian cysts and other adnexal alterations or even with an otherwise normal fallopian tube. We document
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