A 26-Year-Old Woman With Pleural Effusion, Hydronephrosis, and Ascites

Kaleem Ullah Toori, MB BS; Sumaira Nabi, MB BS; Sadaf Khattak, MB BS; Herbert S Diamond, MD

Disclosures

August 16, 2018

Editor's Note:
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Background

A 26-year-old Pakistani woman presents to the emergency department with a 1-week history of nausea, vomiting, diarrhea, lower abdominal pain, and dysuria. She was previously treated for pulmonary tuberculosis about 2 years ago.

She has 3 children, all of who were normal vaginal deliveries and were born healthy. She has a 1-year history of menstrual irregularity and dysmenorrhea. She is a nonsmoker and is not taking any medications on a regular basis. Her family history is unremarkable.

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