A 27-year-old patient comes to the emergency department at 29 weeks of her first pregnancy complaining about a fever up to 38.3°C for the last couple of hours, 2 episodes of vomiting and back pain. Ultrasound examination reveals a normally growing living foetus, normal placenta located in the fundus and the full bladder. On palpation, the abdomen is not rigid but tender in the hypogastric area. On bimanual vaginal examination no pain during cervical motion is observed. The percussion of the lumbar area, especially on the left side, is very painful for the patient. What do you suspect?
Dział: Ginekologia i położnictwo
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