Open AccessSuccessful pregnancy following conservative treatment of massive ascites associated with acute Chlamydia trachomatis peritonitis
Author(s) -
SUZUKI TATSUYA,
SHIBAHARA HIROAKI,
KIKUCHI KUMIKO,
HIRANO YUKI,
TAKAMIZAWA SATORU,
SUZUKI MITSUAKI
Publication year - 2004
Publication title -
reproductive medicine and biology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.005
H-Index - 22
eISSN - 1447-0578
pISSN - 1445-5781
DOI - 10.1111/j.1447-0578.2004.00070.x
Subject(s) - chlamydia trachomatis , medicine , ascites , salpingitis , adnexal mass , pelvic inflammatory disease , chlamydia , peritonitis , infertility , gynecology , malignancy , pregnancy , obstetrics , gastroenterology , immunology , biology , genetics
It is well known that Chlamydia trachomatis causes acute and chronic pelvic inflammatory disease including salpingitis. We describe a case of successful pregnancy following conservative treatment of massive ascites associated with acute Chlamydia trachomatis peritonitis. In this present case, we conservatively treated a woman with acute chlamydial salpingitis accompanied with marked ascites and an adnexal mass that simulated a malignant neoplasm. Elevated CA125 and CA19‐9 also suggested a malignancy at the time of diagnosis, however following treatment they decreased to below the cut‐off value, and were useful in identifying the efficacy of medical treatment. The patient subsequently became pregnant after infertility treatment and underwent a normal vaginal delivery. We conclude that the possibility of Chlamydia trachomatis peritonitis should be considered when a patient presents with ascites and an adnexal mass in sexually active women. (Reprod Med Biol 2004; 3 : 217–221)