Fein Daniel M, Sellinger Catherine, Fagan Michele J
From the Division of Pediatric Emergency Medicine, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, NY.
Pediatr Emerg Care. 2015 Dec;31(12):853-5. doi: 10.1097/PEC.0000000000000631.
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.
急性输卵管炎是急性急腹症的罕见病因，尤其是在没有性活动的青少年中。以下是一名12岁女孩的病例，她否认有性活动，有阑尾切除术的既往史，最近诊断出一个右侧大卵巢囊肿，她出现了急性腹痛、泌尿系统症状和发热。尽管进行了积极的液体复苏和经验性抗生素治疗，但患者在急诊科病情恶化，发展为失代偿性感染性休克。她最终接受了剖腹探查术，被诊断为急性双侧输卵管炎。该病例凸显了照顾腹痛青少年女孩时面临的诊断困境，并呈现了非性活跃青少年腹痛极为罕见的病因。
