Granulomatous Peritonitis secondary to Chlamydia Trachomatis: A case report

• Main Authors: Katelyn Tondo-Steele (Author), Kellie Rath (Author), Leo Niemeier (Author)
• Format: Book
• Published: Elsevier, 2020-05-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2352-5789; 10.1016/j.gore.2020.100558
• Keywords: Chlamydia trachomatis; Chlamydia infection; Sexually transmitted infections; Pelvic inflammatory disease; Granulomatous inflammation; Gynecology and obstetrics; RG1-991; Neoplasms. Tumors. Oncology. Including cancer and carcinogens; RC254-282
• Source: Gynecologic Oncology Reports, Vol 32, Iss , Pp - (2020)

Background: This case provides a rare case of Chlamydia Trachomatis presenting with ascites and granulomatous peritonitis. Case: A 23-year old gravida 0 presented as a new patient to her gynecologist with complaints of irregular menses. A pelvic ultrasound showed ascites and the ovaries appeared heterogenous with irregular borders. A CA125 was 432. The patient was taken to the operating room by gynecologic oncology for a diagnostic laparoscopy. Biopsies were taken and final pathology resulted as "diffuse granulomatous inflammation." Post-operatively, the etiology remained unknown. The patient was brought back to the office for more testing. She tested positive for Chlamydia and was diagnosed with pelvic inflammatory disease. Conclusion: When encountering granulomatous pathology, Chlamydia Trachomatis is a rare etiology however it should be included on the differential diagnosis.