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J Korean Soc Emerg Med > Volume 26(6); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(6): 609-611.
Pelvic Inflammatory Disease in a Male-to-female Transsexual
Hyunjong Kim
Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Gyeonggido, Korea
Correspondence  Hyunjong Kim ,Tel: 031) 910-7944, Fax: 031) 910-7188, Email: drkim@paik.ac.kr,
Received: August 4, 2015; Revised: August 6, 2015   Accepted: October 6, 2015.  Published online: December 30, 2015.
We report on the case of a 29-year-old male-to-female transsexual with severe lower abdominal pain. Neovaginal discharge, direct and rebound tenderness in the lower abdomen were observed. Discharge and motion tenderness were detected during the pelvic examination. The blood test showed leukocytosis and elevated C-reactive protein level. Abdominopelvic computed tomography confirmed findings compatible with pelvic inflammatory disease. The patient was discharged after seven days of admission with broad spectrum antibiotics. This case suggested that diagnostic and therapeutic plans should be made with consideration for pelvic inflammatory disease in case of acute abdominal pain in male-to-female transsexuals.
Key words: Abdominal pain, Pelvic inflammatory disease, Transgender persons
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