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Rectal inflammatory stenosis secondary to Chlamydia trachomatis: a case report
Luis Eduardo Pérez Sánchez1, Moisés Hernández Barroso1, Guillermo Hernández Hernández1
1Cirugía General y del Aparato Digestivo, Hospital Universitario Nuestra Señora de Candelari, España.
Revista Espanola De Enfermedades Digestivas
|July 28, 2017
Summary
Rectal inflammatory strictures, though rare, can cause intestinal obstruction. Surgery may be necessary for cases unresponsive to medical or endoscopic treatments, particularly those linked to infections like Chlamydia trachomatis.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Oncology
Background:
- Rectal inflammatory strictures are an uncommon etiology of intestinal obstruction.
- Human Immunodeficiency Virus (HIV) and proctitis increase susceptibility.
- Chlamydia trachomatis and Herpes Simplex Virus type 2 (HSV-2) are implicated pathogens.
Observation:
- A 30-year-old male with HIV and proctitis presented with low intestinal obstruction.
- The obstruction was refractory to initial medical management.
- Surgical intervention was performed, leading to a positive clinical outcome.
Findings:
- Medical treatment is the cornerstone for managing inflammatory rectal strictures.
- Fibrotic stenoses unresponsive to conservative therapies frequently necessitate surgical intervention.
- Infectious proctitis, especially Chlamydia trachomatis, is a critical consideration for rectal stenosis.
Implications:
- Early recognition of infectious proctitis is crucial for preventing rectal stenosis.
- Surgical options should be evaluated for refractory cases of rectal strictures.
- This case highlights the importance of considering infectious causes in intestinal obstruction.
