Bowel obstruction due to Chlamydia trachomatis: a case report and review of literature

Surgical Case Reports

Takuya Shiraishi¹  Katsuya Osone¹  Ryuji Katoh¹  Chika Komine¹  Hiroshi Saeki¹  Ken Shirabe¹  Takuhisa Okada¹  Hiroomi Ogawa¹  Naoya Ozawa¹  Kunihiko Suga¹  Akihiko Sano¹  Makoto Sohda¹  Makoto Sakai¹  Yuta Shibasaki¹  Chika Katayama¹  Takehiko Yokobori² 

[1]Department of General Surgical Science, Division of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Gunma University, 3-39-22 Showa-Machi, 371-8511, Maebashi, Gunma, Japan

[2]Department of General Surgical Science, Division of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Gunma University, 3-39-22 Showa-Machi, 371-8511, Maebashi, Gunma, Japan

[3]Innovative Medical Research Center, Gunma University Hospital, Graduate School of Medicine, Gunma University, 3-39-22 Showa-Machi, 371-8511, Maebashi, Gunma, Japan

关键词: Chlamydia trachomatis;    Pelvic inflammatory disease;    Bowel obstruction;   

DOI  :  10.1186/s40792-021-01130-w

来源: Springer

【 摘 要 】

BackgroundChlamydial infection is a difficult-to-diagnose type of sexually transmitted disease that occurs mainly in young people. We report a case of bowel obstruction caused by intrapelvic adhesions formed by chlamydial infection.Case presentationThis patient was a 23-year-old woman who had been suffering from acute abdominal pain. She had been previously treated several times for intrapelvic abscesses and had a history of chlamydial infection. Endometriosis was thought to be the cause of her pelvic abscess based on endoscopic findings. Computed tomography demonstrated a small bowel obstruction caused by a pelvic abscess. However, the diagnosis could not be confirmed. She underwent laparoscopic surgery and was diagnosed with bowel obstruction due to adhesion of chlamydial infection based on the intraoperative findings and Chlamydia trachomatis antibody test. She was discharged 5 days after surgery.ConclusionsIt is necessary to consider the possibility of chlamydial infection as a cause for lower abdominal pain and unexplained bowel obstruction in female patients.

【 授权许可】

CC BY