J Korean Soc Emerg Med.  2015 Dec;26(6):609-611. 10.0000/jksem.2015.26.6.609.

Pelvic Inflammatory Disease in a Male-to-female Transsexual

• Kim H

• KMID: 2191675
• DOI: http://doi.org/10.0000/jksem.2015.26.6.609

Abstract

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.

Keyword

Abdominal pain; Pelvic inflammatory disease; Transgender persons

MeSH Terms

Abdomen
Abdominal Pain
Adult
Anti-Bacterial Agents
C-Reactive Protein
Female
Gynecological Examination
Hematologic Tests
Humans
Leukocytosis
Pelvic Inflammatory Disease*
Transgender Persons
Anti-Bacterial Agents
C-Reactive Protein