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Chlamydia Peritonitis Mimicking Juvenile Carcinomatous Peritonitis Diagnosed by Exploratory Laparoscopy: A Case Report

Chlamydia trachomatis infections may occur in multiple organs, including the lungs, lymph nodes, peritoneal cavity, and genitourinary systems. This disease results in significant ascites, the swelling of lymph nodes, and elevated tumor markers (CA125), sometimes mimicking an ovarian malignancy. At o...

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Autores principales: Nishida, Haruka, Takahashi, Yuko, Takehara, Kohei, Yatsuki, Keita, Ichinose, Takayuki, Ishida, Tsuyoshi, Hiraike, Haruko, Sasajima, Yuko, Nagasaka, Kazunori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9864607/
https://www.ncbi.nlm.nih.gov/pubmed/36678442
http://dx.doi.org/10.3390/pathogens12010094
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author Nishida, Haruka
Takahashi, Yuko
Takehara, Kohei
Yatsuki, Keita
Ichinose, Takayuki
Ishida, Tsuyoshi
Hiraike, Haruko
Sasajima, Yuko
Nagasaka, Kazunori
author_facet Nishida, Haruka
Takahashi, Yuko
Takehara, Kohei
Yatsuki, Keita
Ichinose, Takayuki
Ishida, Tsuyoshi
Hiraike, Haruko
Sasajima, Yuko
Nagasaka, Kazunori
author_sort Nishida, Haruka
collection PubMed
description Chlamydia trachomatis infections may occur in multiple organs, including the lungs, lymph nodes, peritoneal cavity, and genitourinary systems. This disease results in significant ascites, the swelling of lymph nodes, and elevated tumor markers (CA125), sometimes mimicking an ovarian malignancy. At our hospital, we often perform examination laparoscopic surgery in cases of suspected gynecologic cancers before initial treatment. In this paper, we report the case of a 19-year-old woman who came to our hospital because of an ovarian tumor and ascites. There was no history of sexual intercourse (self-reported). We suspected ovarian cancer from image inspections, so we performed laparoscopic surgery for diagnosis. The final pathological diagnosis was acute-to-chronic inflammation of the bilateral fallopian tubes, and a cytologic examination of the ascites was negative for malignant cells. The C. trachomatis antigen was positive on vaginal examination after the operation. Based on this result, we diagnosed this patient with C. trachomatis infection. Chlamydia peritonitis should be a differential diagnosis for cancer peritonitis in juvenile patients with abnormal ascites. Exploratory laparoscopy should help confirm the pathological diagnosis.
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spelling pubmed-98646072023-01-22 Chlamydia Peritonitis Mimicking Juvenile Carcinomatous Peritonitis Diagnosed by Exploratory Laparoscopy: A Case Report Nishida, Haruka Takahashi, Yuko Takehara, Kohei Yatsuki, Keita Ichinose, Takayuki Ishida, Tsuyoshi Hiraike, Haruko Sasajima, Yuko Nagasaka, Kazunori Pathogens Case Report Chlamydia trachomatis infections may occur in multiple organs, including the lungs, lymph nodes, peritoneal cavity, and genitourinary systems. This disease results in significant ascites, the swelling of lymph nodes, and elevated tumor markers (CA125), sometimes mimicking an ovarian malignancy. At our hospital, we often perform examination laparoscopic surgery in cases of suspected gynecologic cancers before initial treatment. In this paper, we report the case of a 19-year-old woman who came to our hospital because of an ovarian tumor and ascites. There was no history of sexual intercourse (self-reported). We suspected ovarian cancer from image inspections, so we performed laparoscopic surgery for diagnosis. The final pathological diagnosis was acute-to-chronic inflammation of the bilateral fallopian tubes, and a cytologic examination of the ascites was negative for malignant cells. The C. trachomatis antigen was positive on vaginal examination after the operation. Based on this result, we diagnosed this patient with C. trachomatis infection. Chlamydia peritonitis should be a differential diagnosis for cancer peritonitis in juvenile patients with abnormal ascites. Exploratory laparoscopy should help confirm the pathological diagnosis. MDPI 2023-01-06 /pmc/articles/PMC9864607/ /pubmed/36678442 http://dx.doi.org/10.3390/pathogens12010094 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Nishida, Haruka
Takahashi, Yuko
Takehara, Kohei
Yatsuki, Keita
Ichinose, Takayuki
Ishida, Tsuyoshi
Hiraike, Haruko
Sasajima, Yuko
Nagasaka, Kazunori
Chlamydia Peritonitis Mimicking Juvenile Carcinomatous Peritonitis Diagnosed by Exploratory Laparoscopy: A Case Report
title Chlamydia Peritonitis Mimicking Juvenile Carcinomatous Peritonitis Diagnosed by Exploratory Laparoscopy: A Case Report
title_full Chlamydia Peritonitis Mimicking Juvenile Carcinomatous Peritonitis Diagnosed by Exploratory Laparoscopy: A Case Report
title_fullStr Chlamydia Peritonitis Mimicking Juvenile Carcinomatous Peritonitis Diagnosed by Exploratory Laparoscopy: A Case Report
title_full_unstemmed Chlamydia Peritonitis Mimicking Juvenile Carcinomatous Peritonitis Diagnosed by Exploratory Laparoscopy: A Case Report
title_short Chlamydia Peritonitis Mimicking Juvenile Carcinomatous Peritonitis Diagnosed by Exploratory Laparoscopy: A Case Report
title_sort chlamydia peritonitis mimicking juvenile carcinomatous peritonitis diagnosed by exploratory laparoscopy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9864607/
https://www.ncbi.nlm.nih.gov/pubmed/36678442
http://dx.doi.org/10.3390/pathogens12010094
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