Severe Abdominal Sepsis Misdiagnosed as PID
Infectious pelvic inflammatory disease is a common condition and a frequent cause of abdominal pain in a young female patient. In a patient who has not completed family planning, the diagnosis is often made with a low threshold and treatment started on a low suspicion of diagnosis to avoid a negative impact on fertility.

Published in Case Reports in Surgery, the authors present a case of a 41-year-old woman who was misdiagnosed with infectious pelvic inflammatory disease (PID) and treated ineffectively with antibiotics when the underlying condition of her persistent abdominal pain was a midgut neuroendocrine tumor that had caused bowel perforation and formation of an abscess in the pouch of Douglas.

The correct diagnosis was obtained histologically after a second acute presentation with abdominal symptoms that led to a diagnostic laparoscopy and eventually laparotomy and tumor resection.

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