Case 33-1992

Presentation of Case A 34-year-old woman was admitted to the hospital because of low-back and flank pain, with oliguria. The patient was well until seven years earlier, when severe abdominal pain developed, and a laparotomy performed at another hospital revealed endometriosis with intraperitoneal bleeding from the right ovary; a right oophorectomy was performed. Thereafter, the patient experienced chronic abdominal pain. Three years before entry abdominal adhesions were lysed at a second hospital. Eighteen months before admission leuprolide acetate was prescribed and was continued for 16 months. Eight months before admission evidence of Graves' disease was found; atenolol was prescribed, and . . .