继发于[具体病因未提及]的肉芽肿性腹膜炎 一例报告
Granulomatous Peritonitis secondary to A case report.
作者信息
Tondo-Steele Katelyn, Rath Kellie, Niemeier Leo
机构信息
Riverside Methodist Hospital, 3535 Olentangy River Road, Columbus, OH 43214, United States.
Department of Gynecology Oncology, Riverside Methodist Hospital, Columbus, OH 43214, United States.
出版信息
Gynecol Oncol Rep. 2020 Mar 10;32:100558. doi: 10.1016/j.gore.2020.100558. eCollection 2020 May.
BACKGROUND
This case provides a rare case of 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, is a rare etiology however it should be included on the differential diagnosis.
背景
本病例为罕见的以腹水和肉芽肿性腹膜炎为表现的病例。
病例
一名23岁未孕女性首次就诊于妇科医生，主诉月经不规律。盆腔超声显示有腹水，卵巢呈异质性，边界不规则。癌抗原125（CA125）为432。该患者被妇科肿瘤医生带至手术室进行诊断性腹腔镜检查。取了活检，最终病理结果为“弥漫性肉芽肿性炎症”。术后，病因仍不明。患者被带回办公室做进一步检查。她衣原体检测呈阳性，被诊断为盆腔炎。
结论
当遇到肉芽肿性病理情况时，虽然衣原体是罕见病因，但在鉴别诊断中应予以考虑。
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