An Unusual Cause of Pelvic Pain and Fever: Periurethral Abscess from an Infected Urethral Diverticulum

BackgroundThe evaluation of patients with pelvic pain is a common task for emergency physicians. Accurate diagnosis of the underlying cause of pelvic pain in women is often difficult given the diversity of pathology that can generate pelvic pain.ObjectiveTo report a rare but clinically significant cause of acute pelvic pain in women.Case ReportWe describe a rare case of a periurethral abscess secondary to an infected urethral diverticulum in a 41-year-old woman. She presented to our Emergency Department with pelvic pain, dysuria, and fever of 4 days duration.ConclusionPhysical examination, imaging studies, and surgery aided in confirming the diagnosis of a periurethral abscess.