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Question: The patient is 34 years old female admitted through the er with severe stabbing low back pain and inability to urine the patient has a long history of pelvic inflammatory disease with three surgical episodes to remove implants ct scan revealed a mass in the area of the kidneys. the patient was admitted, prepared, and taken, to surgery. Exploratory laparotomy revealed an area of pelvic inflammatory disease involving both kidneys in dense adhesions. cultures indicated chlamydia both ureters were almost totally blocked. dense adhesion were painstakingly taken down this was done very carefully and required several hours of surgery care was taken not to sever the kidneys or ureters interceed adhesion barrier was applied
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