The patient presented with 5 days of acute pelvic pain. They had experienced other similar episodes of pain over the previous 6 months, but none as severe as this. The pain was predominantly within the right side of the pelvis, with some associated back pain. They were previously fit and well, with no previous imaging of this region. No antenatal or neonatal concerns were noted. They had yet to start menstruating. There was no vomiting, diarrhea, urinary symptoms, or fever associated with the symptoms. Their observations were all within the normal range. They had an elevated CRP (110 mg/L), but their other bloods (FBC, U&E) were within the normal range. They were reviewed by pediatrics and the general surgeons and were referred for an ultrasound to look for appendicitis or ovarian pathology.
Patient Data
| Age: | 13 years |
|---|---|
| Gender: | Female |