A misdiagnosed cause of Chronic pelvic pain: Abscess with foreign body

Abstract

Objective. Chronic pelvic pain may present a diagnostic challenge. Setting. Academic tertiary care center. Design. Case report. Case Report. A 46-year-old woman presented with pain on micturition and a 15-month history of rightsided pelvic pain aggravated by an abdominal massage. Her course and outcome, aided by use of computed tomography (CT) scan, is described, identifying a 6-cm, mass-like lesion in the right lower quadrant enclosing an ambiguous linear calcified lesion, which on laparotomy revealed a fish bone embedded in a section of the terminal ileum and the perivesical area. Conclusion. Chronic pelvic pain refractory to treatment merits consideration of CT to examine for foreign body.