tailieunhanh - Báo cáo hóa học: " Bilateral pyosalpinx in a peripubescent female with Hirschsprung’s disease: a case report"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Bilateral pyosalpinx in a peripubescent female with Hirschsprung’s disease: a case report | Desai and Ward International Journal of Emergency Medicine 2011 4 64 http content 4 1 64 o International Journal of Emergency Medicine a SpringerOpen Journal CASE REPORT Open Access Bilateral pyosalpinx in a peripubescent female with Hirschsprung s disease a case report Bobby Desai and Timothy Ward Abstract This is a case report of bilateral pyosalpinx in a peripubescent female with a history of Hirschsprung s disease. Bilateral pyosalpinx is a rare condition in non-sexually active females. The presence of this disease in a patient with a history of Hirschsprung s disease is concerning for an association of the two processes. Introduction This is a case report of bilateral pyosalpinx in a peripu-bescent female with a history of Hirschsprung s disease. Bilateral pyosalpinx is a rare condition in non-sexually active females. The presence of this disease in a patient with a history of Hirschsprung s disease is concerning for an association of the two processes. Case Report A 12 year old female presents to the emergency department with a complaint of abdominal pain. She has a past medical history of Hirschsprung s disease with a staged repair. At day four of life she underwent colostomy with resection of the affected colon from the mid transverse colon to the junction of the sigmoid and descending colon. She returned two months later for the second stage of the repair where she underwent a Soave endorectal pull thru procedure with incidental appendectomy. Since that time she has had a good recovery without constipation or diarrhea and with normal bowel function. She had recurrent tonsillitis and underwent tonsillectomy. She takes no medications. The patient complains of a sharp bilateral lower abdominal pain for the past two days that is greatest in the suprapubic region. She has had three episodes of emesis. She denies a change in bowel habits. She does report a low grade fever to 101. She denies dysuria frequency or hematuria. She denies any history of