Snapshot A sexually active 14-year-old girl is brought to the emergency department because of acute bilateral lower quadrant abdominal pain. She has a history of multiple sexual partners. Her temperature is 102°F (38.9°C). Bimanual pelvic exam shows cervical exudate and tenderness on cervical motion. Her β-HCG is within normal limits. Sonogram shows thickened fallopian tubes with fluid in the posterior cul-de-sac. Introduction Clinical definition login to view 6 more bullets Epidemiology login to view 13 more bullets Pathophysiology login to view 14 more bullets Associated conditions login to view 1 more bullet Presentation Symptoms login to view 7 more bullets Physical exam login to view 14 more bullets Imaging Ultrasonography login to view 8 more bullets Studies Labs login to view 3 more bullets Diagnostic criteria login to view 4 more bullets Screening tests may include login to view 5 more bullets Differential Ectopic pregnancy login to view 1 more bullet Appendicitis login to view 1 more bullet Treatment Medical login to view 13 more bullets Complications Infertility login to view 1 more bullet Ectopic pregnancy login to view 1 more bullet Fitz-Hugh-Curtis syndrome login to view 4 more bullets Prognosis May recur Prognostic variable login to view 3 more bullets