Complicated clinical course of acute pelvic inflammatory dis
The present case has been reported in the International Journal of Reproduction, Contraception, Obstetrics and Gynecology. The absence of both the classic risk factors for pelvic inflammatory disease (PID) and the triad of cervical motion, uterine or adnexal tenderness does not preclude the diagnosis of PID and tubo-ovarian abscess. The clinical case demonstration presents the perimenopausal woman with complicated clinical course of acute PID.

A 52-year-old woman was admitted to the emergency department complaining of severe fatigue, malaise and edema, sharp stabbing pain in the left leg. This was accompanied by a month-long history of lower abdominal pain, edema in the left leg for 10 days, diarrhea and decreased urine output for six and two days, respectively. Seven days prior the patient had visited the gynecologist.

During the visit, after five years of use, an intrauterine device (IUD) was evacuated. Besides, left side ovarian mass suspicious for malignancy was detected by ultrasound. The patient’s last menstrual period was six month ago; G2P0.

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