Acute Salpingitis in a Nonsexually Active Adolescent

Research output: Contribution to journalArticle

Abstract

Acute salpingitis is an uncommon cause of an acute surgical abdomen, especially in an adolescent who is not sexually active. The following is a case of a 12-year-old girl who denied sexual activity, had a remote history of an appendectomy, and a recent diagnosis of a large, right-sided ovarian cyst, who presented with acute abdominal pain, urinary symptoms, and fever. The patient was ill-appearing and progressed to uncompensated septic shock in the emergency department despite aggressive fluid resuscitation and empiric antibiotics. She ultimately underwent an exploratory laparotomy and was diagnosed with acute bilateral salpingitis. This case highlights the diagnostic dilemmas facing those caring for an adolescent girl with abdominal pain and presents an extremely rare etiology for abdominal pain in a nonsexually active adolescent.

Original languageEnglish (US)
Pages (from-to)853-855
Number of pages3
JournalPediatric Emergency Care
Volume31
Issue number12
DOIs
StatePublished - Dec 1 2015

Fingerprint

Salpingitis
Abdominal Pain
Ovarian Cysts
Acute Abdomen
Appendectomy
Acute Pain
Septic Shock
Resuscitation
Sexual Behavior
Laparotomy
Hospital Emergency Service
Fever
Anti-Bacterial Agents

Keywords

  • acute abdomen
  • pelvic inflammatory disease
  • salpingitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

Cite this

Acute Salpingitis in a Nonsexually Active Adolescent. / Fein, Daniel M.; Sellinger, Catherine R.; Fagan, Michele J.

In: Pediatric Emergency Care, Vol. 31, No. 12, 01.12.2015, p. 853-855.

Research output: Contribution to journalArticle

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