A 29-year-old female with persistent dull aching pain in her lower abdomen for a week was admitted to a gynecology emergency department. The pain was exacerbated when changing postures. She also had weakness, breathlessness on walking, and malaise. Previous hospitalization Ten days earlier, the patient experienced severe dysmenorrhea and worsening pain and fainted.
She was examined and treated conservatively at a local hospital. Transabdominal sonography showed an echogenic lesion at the left renal cortex and no other abnormalities. Even though she was discharged when her pain was reduced, she had persistent dull aching pain. Medical history Using an intrauterine device for three years Had two live deliveries through cesarean section Physical examination Ill-looking, anxious, and severely pale Heartbeats – 116 beats/minute Blood pressure – 96/60 mmHg Tenderness in the suprapubic area…
