Acute Gynecologic Emergencies

Elise Bardawil, Eric Strand

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


A 32-year-old female, gravid 2, para 2, presents to the emergency department with the sudden onset of right lower quadrant pain, nausea, and vomiting. The patient reports no significant prior medical or surgical history. She was in her normal state of health until the onset of sharp, colicky pain that started ~18 h prior to presentation. On physical examination, the patient’s temperature is 99.1 °F, pulse 110 bpm, and BP 118/64. Her abdomen is tender in the RLQ with moderate guarding. Laboratory evaluation reveals a Hgb of 11.2 g/dL and a WBC of 13.2 k/mm3. A urine pregnancy test is negative. A CT scan performed reveals a complex right lower quadrant mass without clear visualization of the appendix, interpreted as suspicious for appendiceal rupture and/or abscess.

Original languageEnglish
Title of host publicationThe Acute Management of Surgical Disease
PublisherSpringer International Publishing
Number of pages10
ISBN (Electronic)9783031078811
ISBN (Print)9783031078804
StatePublished - Jan 1 2022


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