Ureterocele misdiagnosed as pelvic inflammatory disease in an adolescent

Valerie I. Shavell, Mazen E. Abdallah, Jeffrey A. Triest, Michael Peter Diamond

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Acute pelvic pain in reproductive-aged women presents a diagnostic challenge. In the case that follows, we report the management of a patient initially misdiagnosed with pelvic inflammatory disease. Case: A 14-year-old nulligravida who presented with acute pelvic pain was diagnosed with pelvic inflammatory disease and possible tuboovarian abscess. Despite treatment with broad-spectrum parenteral antibiotics, the patient remained febrile with persistent pelvic pain. Com-puted tomography revealed a duplicated right collecting system with the upper pole of the kidney drained by a markedly dilated, tortuous ureter. An infected ureterocele was identified and incised during cystoscopy. Conclusion: An infected ureterocele was misdiagnosed as pelvic inflammatory disease. In patients with acute pelvic pain who do not respond to appropriate interventions, it is important to consider alternative diagnoses.

Original languageEnglish (US)
Pages (from-to)522-525
Number of pages4
JournalObstetrics and Gynecology
Volume113
Issue number2 PART 2
DOIs
StatePublished - Feb 1 2009
Externally publishedYes

Fingerprint

Ureterocele
Pelvic Inflammatory Disease
Pelvic Pain
Diagnostic Errors
Acute Pain
Cystoscopy
Ureter
Abscess
Fever
Tomography
Anti-Bacterial Agents
Kidney

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Ureterocele misdiagnosed as pelvic inflammatory disease in an adolescent. / Shavell, Valerie I.; Abdallah, Mazen E.; Triest, Jeffrey A.; Diamond, Michael Peter.

In: Obstetrics and Gynecology, Vol. 113, No. 2 PART 2, 01.02.2009, p. 522-525.

Research output: Contribution to journalArticle

Shavell, Valerie I. ; Abdallah, Mazen E. ; Triest, Jeffrey A. ; Diamond, Michael Peter. / Ureterocele misdiagnosed as pelvic inflammatory disease in an adolescent. In: Obstetrics and Gynecology. 2009 ; Vol. 113, No. 2 PART 2. pp. 522-525.
@article{46bb75bf1f614286ad783d63b1512ffc,
title = "Ureterocele misdiagnosed as pelvic inflammatory disease in an adolescent",
abstract = "Background: Acute pelvic pain in reproductive-aged women presents a diagnostic challenge. In the case that follows, we report the management of a patient initially misdiagnosed with pelvic inflammatory disease. Case: A 14-year-old nulligravida who presented with acute pelvic pain was diagnosed with pelvic inflammatory disease and possible tuboovarian abscess. Despite treatment with broad-spectrum parenteral antibiotics, the patient remained febrile with persistent pelvic pain. Com-puted tomography revealed a duplicated right collecting system with the upper pole of the kidney drained by a markedly dilated, tortuous ureter. An infected ureterocele was identified and incised during cystoscopy. Conclusion: An infected ureterocele was misdiagnosed as pelvic inflammatory disease. In patients with acute pelvic pain who do not respond to appropriate interventions, it is important to consider alternative diagnoses.",
author = "Shavell, {Valerie I.} and Abdallah, {Mazen E.} and Triest, {Jeffrey A.} and Diamond, {Michael Peter}",
year = "2009",
month = "2",
day = "1",
doi = "10.1097/AOG.0b013e31818d8740",
language = "English (US)",
volume = "113",
pages = "522--525",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "2 PART 2",

}

TY - JOUR

T1 - Ureterocele misdiagnosed as pelvic inflammatory disease in an adolescent

AU - Shavell, Valerie I.

AU - Abdallah, Mazen E.

AU - Triest, Jeffrey A.

AU - Diamond, Michael Peter

PY - 2009/2/1

Y1 - 2009/2/1

N2 - Background: Acute pelvic pain in reproductive-aged women presents a diagnostic challenge. In the case that follows, we report the management of a patient initially misdiagnosed with pelvic inflammatory disease. Case: A 14-year-old nulligravida who presented with acute pelvic pain was diagnosed with pelvic inflammatory disease and possible tuboovarian abscess. Despite treatment with broad-spectrum parenteral antibiotics, the patient remained febrile with persistent pelvic pain. Com-puted tomography revealed a duplicated right collecting system with the upper pole of the kidney drained by a markedly dilated, tortuous ureter. An infected ureterocele was identified and incised during cystoscopy. Conclusion: An infected ureterocele was misdiagnosed as pelvic inflammatory disease. In patients with acute pelvic pain who do not respond to appropriate interventions, it is important to consider alternative diagnoses.

AB - Background: Acute pelvic pain in reproductive-aged women presents a diagnostic challenge. In the case that follows, we report the management of a patient initially misdiagnosed with pelvic inflammatory disease. Case: A 14-year-old nulligravida who presented with acute pelvic pain was diagnosed with pelvic inflammatory disease and possible tuboovarian abscess. Despite treatment with broad-spectrum parenteral antibiotics, the patient remained febrile with persistent pelvic pain. Com-puted tomography revealed a duplicated right collecting system with the upper pole of the kidney drained by a markedly dilated, tortuous ureter. An infected ureterocele was identified and incised during cystoscopy. Conclusion: An infected ureterocele was misdiagnosed as pelvic inflammatory disease. In patients with acute pelvic pain who do not respond to appropriate interventions, it is important to consider alternative diagnoses.

UR - http://www.scopus.com/inward/record.url?scp=60549113952&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=60549113952&partnerID=8YFLogxK

U2 - 10.1097/AOG.0b013e31818d8740

DO - 10.1097/AOG.0b013e31818d8740

M3 - Article

C2 - 19155943

AN - SCOPUS:60549113952

VL - 113

SP - 522

EP - 525

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 2 PART 2

ER -