双侧输卵管卵巢脓肿所致肾积水

Hydronephrosis Due to Bilateral Tubo-ovarian Abscess.

作者信息

Fite Emily, Fitzgerald Jennifer, Kistenfeger Quinn

机构信息

Saint Louis University School of Medicine, Saint Louis, Missouri.

Saint Louis University School of Medicine, Division of Emergency Medicine, Department of Surgery, Saint Louis, Missouri.

出版信息

Clin Pract Cases Emerg Med. 2020 Jan 6;4(1):92-93. doi: 10.5811/cpcem.2019.10.44568. eCollection 2020 Feb.

DOI:10.5811/cpcem.2019.10.44568

PMID:32064438

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7012543/

Abstract

A 27-year-old female presented to the emergency department with fevers, nausea, chills, and non-specific bilateral lower quadrant abdominal pain. A pregnancy test was negative. Computed tomography demonstrated moderate left hydronephrosis secondary to tubo-ovarian abscess (TOA). The abscess was so large it distorted local anatomy and compressed the ureters. She was prescribed merepenem and admitted for care by obstetrics/gynecology.

摘要

一名27岁女性因发热、恶心、寒战及双侧下腹部非特异性疼痛就诊于急诊科。妊娠试验呈阴性。计算机断层扫描显示，继发于输卵管卵巢脓肿（TOA）的中度左肾积水。脓肿很大，扭曲了局部解剖结构并压迫输尿管。她被给予美罗培南治疗，并由妇产科收治。