Granulomatous Peritonitis secondary to Chlamydia Trachomatis: A case report

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.