{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:33:36Z","timestamp":1787758416398,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>We describe a case of multiple missed opportunities to diagnose Fitz-Hugh\u2013Curtis syndrome in a sexually active 26-year-old woman in the emergency department (ED). Repeat ultrasound scans showed a hemorrhagic ovarian cyst. Multiple ED providers relied exclusively on these ultrasound findings as the presumed cause of her pelvic pain, to the detriment of their physical examination. A manual pelvic examination was not performed until her fourth ED return visit, which showed mucopurulent discharge. On the basis of our findings, obstetrics and gynecology team was consulted and the patient underwent diagnostic laparoscopy, which revealed extensive adhesions suggestive of pelvic inflammatory disease (PID) and Fitz-Hugh\u2013Curtis syndrome. With the advent of ultrasound, we have noticed providers rely on technology to the detriment of their physical examination skills. Many ED providers are hesitant to perform a pelvic examination when a transvaginal ultrasound has already suggested a cause of the patient's pain. Ultrasound will not and cannot diagnose PID.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jets.jets_136_20","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T01:06:46Z","timestamp":1664327206000},"page":"146-148","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Ultrasound Killed the Pelvic Examination"],"prefix":"10.4103","volume":"15","author":[{"given":"Luke","family":"Lin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfredo","family":"Tirado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Mateer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sagar","family":"Galwankar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Tucci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-7-20240828","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1097\/01.olq.0000187205.67390.d1","article-title":"Prediction of pelvic inflammatory disease among young, single, sexually active women","volume":"33","author":"Ness","year":"2006","journal-title":"Sex Transm Dis"},{"key":"R2-7-20240828","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1155\/S1064744995000470","article-title":"Epidemiology and clinical outcome of patients hospitalized with pelvic inflammatory disease complicated by tubo-ovarian abscess","volume":"3","author":"Chan","year":"1995","journal-title":"Infect Dis Obstet Gynecol"},{"key":"R3-7-20240828","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1016\/j.fertnstert.2004.05.076","article-title":"Can endometrial infection\/inflammation explain implantation failure, spontaneous abortion, and preterm birth after in vitro fertilization?","volume":"82","author":"Romero","year":"2004","journal-title":"Fertil Steril"},{"key":"R4-7-20240828","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1067\/mob.2001.113847","article-title":"Clinical predictors of endometritis in women with symptoms and signs of pelvic inflammatory disease","volume":"184","author":"Peipert","year":"2001","journal-title":"Am J Obstet Gynecol"},{"key":"R5-7-20240828","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0897.2007.00481.x","article-title":"Association between Chlamydia trachomatis and abnormal uterine bleeding","volume":"57","author":"Toth","year":"2007","journal-title":"Am J Reprod Immunol"},{"key":"R6-7-20240828","first-page":"1","article-title":"Sexually transmitted diseases treatment guidelines, 2010","volume":"59","author":"Workowski","year":"2010","journal-title":"MMWR Recomm Rep"},{"key":"R7-7-20240828","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.jpag.2006.08.004","article-title":"Incidence of Fitz-Hugh-Curtis syndrome in adolescents who have pelvic inflammatory disease","volume":"20","author":"Risser","year":"2007","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"R8-7-20240828","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1086\/514720","article-title":"Anaerobes in pelvic inflammatory disease: Implications for the Centers for Disease Control and Prevention's guidelines for treatment of sexually transmitted diseases","volume":"28","author":"Walker","year":"1999","journal-title":"Clin Infect Dis"},{"key":"R9-7-20240828","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1097\/01.olq.0000218869.52753.c7","article-title":"The associations between pelvic inflammatory disease, Trichomonas vaginalis infection, and positive herpes simplex virus type 2 serology","volume":"33","author":"Cherpes","year":"2006","journal-title":"Sex Transm Dis"},{"key":"R10-7-20240828","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1097\/OLQ.0b013e31827c5a5b","article-title":"Does bacterial vaginosis cause pelvic inflammatory disease?","volume":"40","author":"Taylor","year":"2013","journal-title":"Sex Transm Dis"}],"container-title":["Journal of Emergencies, Trauma, and Shock"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/JETS.JETS_136_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:15:41Z","timestamp":1787757341000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/JETS.JETS_136_20"}},"subtitle":["Over-reliance on Ultrasound Resulted in Delayed Diagnosis of Fitz-Hugh\u2013Curtis Syndrome and Potential Loss of Fertility in a Young Female Patient"],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jets.jets_136_20","relation":{},"ISSN":["0974-2700"],"issn-type":[{"value":"0974-2700","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}