Case Report on Unusual Ultrasound Findings in Pelvic Inflammatory Disease
Author Information
Author(s): Makhijani Neil MD, Sondheim Samuel E. MD, MBA, Saul Turandot MD, MBA, Yetter Elizabeth MD, MHPE
Primary Institution: Mount Sinai Morningside-Mount Sinai West, Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York
Hypothesis
Can point-of-care ultrasound (POCUS) reveal uncommon findings in patients with pelvic inflammatory disease (PID)?
Conclusion
Uncommon findings on abdominal POCUS should trigger further investigation, especially considering group A streptococcus as a possible cause in PID patients not responding to standard treatment.
Supporting Evidence
- Point-of-care ultrasound (POCUS) is a useful tool in the emergency department for assessing abdominal pain.
- The patient was diagnosed with a ruptured tubo-ovarian abscess caused by group A streptococcus.
- Unusual ultrasound findings should prompt further investigation in patients with pelvic inflammatory disease.
- Group A streptococcus is a rare cause of pelvic inflammatory disease.
- The patient required a penicillin-based antibiotic to treat the infection.
Takeaway
Doctors used an ultrasound to find unusual fluid in a patient's belly, which helped them discover a rare infection that needed special treatment.
Methodology
The case report describes the use of point-of-care ultrasound to assess a patient with abdominal pain and subsequent diagnostic imaging and surgical intervention.
Potential Biases
No conflicts of interest or biases were reported by the authors.
Limitations
The case report is based on a single patient, limiting generalizability.
Participant Demographics
A 24-year-old female with a past medical history of a right ovarian cyst.
Digital Object Identifier (DOI)
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