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When Back Pain Isn’t Just Back Pain: Endometriosis Misdiagnosed in the ER

Pelvic pain dismissed as back strain? Dr. Karli Goldstein, DO, FACOG, reviews a case where endometriosis was overlooked in the ER—delaying critical care.

When the ER Misses Endometriosis: A Real-World Case Review with Dr. Karli Goldstein

In this case, a patient came to the ER with severe pelvic pain—and was sent home with a diagnosis of back strain and a UTI. Weeks later, she underwent diagnostic surgery that revealed bilateral endometriomas, extensive disease, and possible rupture.

Dr. Karli Goldstein, DO, FACOG, reviews the clinical missteps that led to a missed diagnosis of endometriosis, and explains why this scenario is so common. When emergency care is focused on ruling out immediate danger, chronic gynecologic conditions often fall through the cracks.

What Dr. Goldstein explores:

  • How and why endometriosis is often overlooked in urgent care settings
  • What the ER can—and can’t—do for complex pelvic pain
  • The importance of thoughtful follow-up and expert evaluation
  • How patients can advocate for themselves when they feel dismissed

At ESSE Care, we hear these stories every day—and we’re here to change the narrative. We combine surgical expertise with integrative support to make sure your symptoms are taken seriously and investigated fully.

Watch On-Demand: Ruptured Cyst vs. Endometriosis Flare —​ When to Go to the ER & How to Advocate for Care​

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