Chlamydiaascites: a call for sexually transmitted infection testing

Abstract

A 26-year-old gravida 2, para 2-0-0-2 woman with a recent uncomplicated vaginal delivery 10 weeks prior presented to our hospital with 5 weeks of abdominal swelling and discomfort. Four weeks after delivery, the patient began having right upper quadrant pain and was found to have cholelithiasis. She underwent an elective laparoscopic cholecystectomy 6 weeks prior to admission, but started to develop worsening abdominal swelling 1 week postoperatively. Abdominal distension and shifting dullness were present on examination. CT of the abdomen and pelvis was remarkable for moderate-volume ascites and mild enhancement of the pelvic peritoneum. Paracentesis removed 2.46 L of ascites fluid with 76% lymphocytic predominance. Results for Chlamydia trachomatis were positive in urine, cervical swab and ascitic fluid. Doxycycline was prescribed for a diagnosis of pelvic inflammatory disease exudative ascites. Since discharge, she has completed her antibiotic course and reports resolution of all symptoms without recurrence of ascites.

Ascitis secundaria a chlamydia trachomatis tras procedimiento de reproducción asistida

“…9 Los marcadores tumorales, son una prueba inespecífica que se puede encontrar elevados en los procesos inflamatorios y otras enfermedades no oncológicas como la endometriosis. 10 La elevación del Ca 12,5 puede orientar el diagnóstico hacia un proceso oncológico, pero la edad de la paciente, la ausencia de anomalías en las pruebas de imagen y los antecedentes ginecológicos; hicieron que fuese necesario solicitar más pruebas.…”

Peritoneal <b><i>Chlamydia trachomatis</i></b> Infection as a Cause of Ascites: A Diagnosis Not to Be Missed

“…Ascites associated with low SAAG values comprises a heterogeneous group of conditions that include pancreatic and renal disease, peritoneal malignancy, and infections such as tuberculosis or permeability changes (i.e., hypothyroidism and paraproteinemias) [2]. Chlamydia peritoneal infection is a rare cause of ascites with low SAAG in young people [3].…”