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Chlamydia trachomatis perihepatitis with ascites.

J B Haight1, S A Ockner

  • 1Department of Medicine, Cleveland Clinic Foundation, Ohio.

The American Journal of Gastroenterology
|March 1, 1988
PubMed
Summary
This summary is machine-generated.

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Fitz-Hugh-Curtis syndrome, typically linked to Chlamydia trachomatis, is rarely associated with ascites. This case highlights perihepatitis presenting with significant exudative ascites, challenging typical clinical presentations.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Gynecology

Background:

  • Fitz-Hugh-Curtis syndrome (FHCS) is an inflammation of the liver capsule, often associated with pelvic inflammatory disease.
  • Chlamydia trachomatis is a known etiological agent for FHCS.
  • Ascites, the accumulation of fluid in the peritoneal cavity, is not a commonly reported feature of FHCS.

Observation:

  • A young woman presented with exudative ascites as the primary clinical manifestation.
  • Laparoscopy revealed classic "violin string" adhesions on the liver capsule.
  • Abdominal computerized tomographic (CT) scan also identified these characteristic adhesions.

Findings:

  • The patient's condition was attributed to Chlamydia trachomatis perihepatitis.
  • This case demonstrates an unusual presentation of FHCS with prominent ascites.

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  • The findings underscore the variability in clinical presentation of Chlamydia-related perihepatitis.

    • Implications:

    • This case expands the spectrum of clinical presentations for Chlamydia trachomatis perihepatitis.
    • Physicians should consider FHCS in young women presenting with exudative ascites, even without typical symptoms.
    • Early diagnosis and treatment are crucial to prevent complications associated with perihepatitis.