Case 55 - A 32-Year-Old G4P4 Woman with Through-and-Through Small Bowel Penetration on Placement of Umbilical Port

Summary

A 32-year-old gravida 4, para 4 woman presents to the clinic with a history of increasingly painful menses over the past 18 months. She also reports mild daily right lower pelvic pain that is increased during menses. She typically misses one to two days of work each month due to this pain but struggles to maintain normal work and personal activities for a total of five to six days each month. Her bowel and bladder function are normal other than occasional constipation. She has tried oral contraceptive pills for six months and over-the-counter non-steroidal anti-inflammatory medications without improvement.