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TL;DR
Physical exam and imaging revealed leukocytosis, urinary tract infection, fecal impaction, and pelvic ultrasound and CT findings consistent with salpingitis, characterized by bilateral hydrosalpinges and adnexal hyperemia.
JPGN reports · 3 authors, 2 centres
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Physical exam and imaging revealed leukocytosis, urinary tract infection, fecal impaction, and pelvic ultrasound and CT findings consistent with salpingitis, characterized by bilateral hydrosalpinges and adnexal hyperemia.
Physical exam and imaging revealed leukocytosis, urinary tract infection, fecal impaction, and pelvic ultrasound and CT findings consistent with salpingitis, characterized by bilateral hydrosalpinges and adnexal hyperemia. The patient was initially treated with antibiotics for suspected PID and UTI and for a bowel cleanout. Gonorrhea and chlamydia tests were negative, and antibiotics for PID were discontinued. The authors conclude that the primary diagnosis was fecal impaction, which caused mechanical obstruction and congestion leading to radiographic, noninfectious salpingitis. The case illustrates that severe constipation can mimic gynecologic pathology and is a possible cause of sterile pelvic inflammation in adolescents.