Gynecology Cases From THE PITT

Jia Yi Chen

6 weeks of constant pain in the suprapubic area, increasing in severity.

12-year-old female presents to the ED accompanied by her father with a 6-week history of constant suprapubic pain. The pain has progressively worsened from a 2/10 to a 7/10. Patient reports primary amenorrhea, though she has developed secondary sexual characteristics (breast development, widening hips). She denies fever, dysuria, nausea, vomiting, and vaginal discharge. A urine pregnancy test was performed and is negative.