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65 Possible Causes for Acute Abdomen, Elevated Sedimentation Rate, Vaginal Discharge

  • Pelvic Inflammatory Disease

    A case of E. vermicularis-associated pelvic inflammatory disease with right salpingitis mimicking acute abdomen due to appendicitis in an 11-year-old girl is presented.[] With patients' positive chandelier sign on pelvic examination, leucocytosis, elevated erythrocyte sedimentation rate and elevated C-reactive protein indicated that she had[] Culture of the vaginal discharge revealed the presence of E. coli.[]

  • Ectopic Pregnancy

    The second patient is also 16 years old and presented with an acute abdomen. She was diagnosed as a ruptured luteal cyst and underwent partial oophorectomy.[] discharge and 2 days history of painless vaginal bleeding.[] More than half of all women with ectopic pregnancy presented with acute abdomen and required emergency laparotomy.[]

  • Tubal Pregnancy

    A 25-year-old woman, gravida 2, parity 0, presented with acute abdomen after 12 weeks of amenorrhea.[] The vaginal bleeding can vary from being slight or brown vaginal discharge to being like a normal period.[] Peritonism and signs of an acute abdomen may occur.[]

  • Appendicitis

    In conclusion, surgeons should be aware of this possibility in the diagnostic and therapeutic management of acute abdomen.[] Herein, we report a 6-month infant with a 7 days of fever and bilateral pleural effusion, elevated erythrocyte sedimentation rate, thrombocytosis, hypo-albominemia, normal[] Other symptoms include fever, cervical or vaginal discharge and dyspareunia.[]

  • Metastatic Ovarian Carcinoma

    Acute abdomen is a challenge to first-line physicians because of frequently missed diagnoses and potential follow-on legal problems.[] We present a case of a patient with acute abdomen due to intraperitoneal hemorrhage secondary to rupture of an ovarian tumor.[]

  • Diverticulitis of the Colon

    Appendicitis and diverticulitis of the colon are the two main causes of febrile acute abdomen in adults. Diagnosis from imaging (ultrasound and CT) is usually easy.[] Therefore these patients will present with additional signs of fistulae, such as fecaluria and a foul smelling vaginal discharge.[] However, since US is often used as a first modality in acute abdomen, it is important to be aware of the US signs of diverticulitis.[]

  • Diverticular Abscess

    abdomen.[] discharge or recurrent vaginal infections); such fistulas will require surgical resection and repair Bowel obstruction – secondary to stricture formation, can be managed[] Fistula may manifest as pneumaturia, fecaluria (feces in the urine), feculent vaginal discharge, or a cutaneous or myofascial infection of the abdominal wall, perineum, or[]

  • Chlamydial Pelvic Inflammatory Disease

    Patients with PID who have progression of pain, unstable vital signs and/or an acute abdomen may have a ruptured tubo-ovarian abscess.[] In contrast, Chlamydia trachomatis is more likely to cause abnormal uterine bleeding and an elevated erythrocyte sedimentation rate (ESR).[] These patients presented with vaginal discharge and chronic abdominal pain.[]

  • Hepatitis B

    Acute symptoms last anywhere from one to four months.[] Epidemiology Although various body fluids (blood, saliva, menstrual and vaginal discharges, serous exudates, seminal fluid, and breast milk) have been implicated in the spread[] […] vomiting yellowish eyes and skin, called jaundice Infants and children younger than age 5 typically don’t have symptoms of acute hepatitis B.[]

  • Tubo-Ovarian Abscess

    It is important to keep pelvic infection in the differential diagnosis of virginal patients who present with clinical symptoms of an acute abdomen.[] […] erythrocyte sedimentation rate Elevated C-reactive protein Laboratory evidence of cervical infection with Neisseria gonorrhea or Chlamydia trachomatis (ie, culture or DNA[] She had odorless whitish vaginal discharge. The pelvic examination revealed excitation pain on the left side of her cervix.[]

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