Chlamydia Trachomatis Peritonitis: Report of a Patient Presenting Spontaneous Regression of Ascites.

Yanagisawa, N; Tomiyasu, Hitoshi; Hada, Tetsuya; Kure, N; Kobayashi, Yumiko; Katamoto, Tetsurou; Sugaya, Hitoshi; Harada, Takashi

doi:10.2169/internalmedicine.31.835

Cited by 11 publications

(11 citation statements)

References 8 publications

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“…Few patients with chlamydial infection have presented with both an adnexal mass and marked ascites 19,26,27 . In all three cases, chlamydial infection was not initially suspected.…”

Section: Discussionmentioning

confidence: 93%

“…Laparotomy was performed in two cases, and pathological reports of resected tubes suggested chlamydial infection 19,26 . In the remaining case, spontaneous regression of ascites was achieved and chlamydial infection was diagnosed retrospectively 27 …”

Section: Discussionmentioning

confidence: 99%

“…Few patients with chlamydial infection have presented with both an adnexal mass and marked ascites. 19,26,27 In all three cases, chlamydial infection was not initially suspected. Laparotomy was performed in two cases, and pathological reports of resected tubes suggested chlamydial infection.…”

Section: P Elvic Inflammatory Disease Is a Common Andmentioning

confidence: 97%

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Successful pregnancy following conservative treatment of massive ascites associated with acute Chlamydia trachomatis peritonitis

Suzuki

Shibahara

Kikuchi

et al. 2004

Reprod Medicine & Biology

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It is well known that Chlamydia trachomatis causes acute and chronic pelvic inflammatory disease including salpingitis. We describe a case of successful pregnancy following conservative treatment of massive ascites associated with acute Chlamydia trachomatis peritonitis. In this present case, we conservatively treated a woman with acute chlamydial salpingitis accompanied with marked ascites and an adnexal mass that simulated a malignant neoplasm. Elevated CA125 and CA19-9 also suggested a malignancy at the time of diagnosis, however following treatment they decreased to below the cut-off value, and were useful in identifying the efficacy of medical treatment. The patient subsequently became pregnant after infertility treatment and underwent a normal vaginal delivery. We conclude that the possibility of Chlamydia trachomatis peritonitis should be considered when a patient presents with ascites and an adnexal mass in sexually active women. (Reprod Med Biol 2004; 3: 217-221)

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“…Few patients with chlamydial infection have presented with both an adnexal mass and marked ascites 19,26,27 . In all three cases, chlamydial infection was not initially suspected.…”

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Successful pregnancy following conservative treatment of massive ascites associated with acute Chlamydia trachomatis peritonitis

Suzuki

Shibahara

Kikuchi

et al. 2004

Reprod Medicine & Biology

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“…The antibody titers in this patient's ascites supported the presumed diagnosis of C. trachomatis peritonitis with ascites formation. There are very few reports on determination of antibody titers in ascites [1]. The first reported cases of ascites associated with chlamydia were in 1978 [2].…”

Section: Discussionmentioning

confidence: 99%

“…It has also been suggested that C. trachomatis ascites may be a self-limiting condition and the resolution may not be necessarily dependent on the administration of antibiotics [1, 7]. …”

Section: Discussionmentioning

confidence: 99%

Chlamydia Peritonitis and Ascites Mimicking Ovarian Cancer

Gojayev

English

Macer

et al. 2016

Case Reports in Obstetrics and Gynecology

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Background. Pelvic inflammatory disease (PID) rarely results in diffuse ascites. Severe adhesive disease secondary to PID may lead to the formation of inclusion cysts and even pelvic peritoneal nodularity due to postinflammatory scarring and cause an elevation of serum CA-125 levels. The constellation of these findings may mimic an ovarian neoplasm. Case. We report a case of a 22-year-old female who presented with multiple pelvic cysts and diffuse ascites due to Chlamydia trachomatis infection. The initial gynecologic exam did not reveal obvious evidence of PID; however, a positive Chlamydia trachomatis test, pathologic findings, and the exclusion of other etiologies facilitated the diagnosis. Conclusion. Chlamydia trachomatis and other infectious agents should be considered in the differential diagnosis of a young sexually active female with abdominal pain, ascites, and pelvic cystic masses. Thorough workup in such a population may reduce the number of more invasive procedures as well as unnecessary repeat surgical procedures.

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