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Revista de Ciencias Médicas de Pinar del Río

On-line version ISSN 1561-3194

Abstract

FLORES CONTRERAS, Jorge Manuel  and  GONZALEZ DIEGO, Agustín. Pelvic peritonitis secondary to a gynecological malformation in a 13 year-old girl. A case Report. Rev Ciencias Médicas [online]. 2004, vol.8, n.1, pp.83-92. ISSN 1561-3194.

A patient was presented in pediatric age with history of previous health with abdominal pain during several days, vomiting and high fever. At physical examination, we found a slightly distended abdomen mainly in the hypogastric region painful when coughing. At palpation a significant peritoneal reaction is seen, diagnosing acute abdomen picture for peritoneal picture, an urgent exploring laparotomy was performed with presumptive diagnosis of perforated acute appendicitis, it was documented the presence of gynecological malformation consistent in two separate uteri and a vaginal duplication, the vaginal abnormality was corrected, the patient was discharged from hospital and after a menstrual cycle she was evaluated evolving adequately and uneventfully.

Keywords : ABNORMALITIES; PERITONITIS; PELVIS; GYNECOLOGY.

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