沙眼衣原体导致的肠梗阻：一例病例报告及文献综述
Bowel obstruction due to Chlamydia trachomatis: a case report and review of literature.
作者信息
Shibasaki Yuta, Sohda Makoto, Ogawa Hiroomi, Katayama Chika, Ozawa Naoya, Komine Chika, Suga Kunihiko, Osone Katsuya, Okada Takuhisa, Shiraishi Takuya, Katoh Ryuji, Yokobori Takehiko, Sano Akihiko, Sakai Makoto, Shirabe Ken, Saeki Hiroshi
机构信息
Department of General Surgical Science, Division of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Gunma University, 3-39-22 Showa-Machi, Maebashi, Gunma, 371-8511, Japan.
Innovative Medical Research Center, Gunma University Hospital, Graduate School of Medicine, Gunma University, 3-39-22 Showa-Machi, Maebashi, Gunma, 371-8511, Japan.
出版信息
Surg Case Rep. 2021 Feb 15;7(1):47. doi: 10.1186/s40792-021-01130-w.
BACKGROUND
Chlamydial infection is a difficult-to-diagnose type of sexually transmitted disease that occurs mainly in young people. We report a case of bowel obstruction caused by intrapelvic adhesions formed by chlamydial infection.
CASE PRESENTATION
This patient was a 23-year-old woman who had been suffering from acute abdominal pain. She had been previously treated several times for intrapelvic abscesses and had a history of chlamydial infection. Endometriosis was thought to be the cause of her pelvic abscess based on endoscopic findings. Computed tomography demonstrated a small bowel obstruction caused by a pelvic abscess. However, the diagnosis could not be confirmed. She underwent laparoscopic surgery and was diagnosed with bowel obstruction due to adhesion of chlamydial infection based on the intraoperative findings and Chlamydia trachomatis antibody test. She was discharged 5 days after surgery.
CONCLUSIONS
It is necessary to consider the possibility of chlamydial infection as a cause for lower abdominal pain and unexplained bowel obstruction in female patients.
背景
衣原体感染是一种主要发生在年轻人中的难以诊断的性传播疾病。我们报告一例由衣原体感染形成的盆腔内粘连导致肠梗阻的病例。
病例介绍
该患者为一名23岁女性，曾患急性腹痛。她此前曾多次接受盆腔脓肿治疗，并有衣原体感染史。根据内镜检查结果，子宫内膜异位症被认为是其盆腔脓肿的病因。计算机断层扫描显示盆腔脓肿导致小肠梗阻。然而，诊断无法得到证实。她接受了腹腔镜手术，根据术中发现及沙眼衣原体抗体检测，被诊断为衣原体感染粘连所致的肠梗阻。术后5天出院。
结论
对于女性患者下腹痛及不明原因的肠梗阻，有必要考虑衣原体感染的可能性。
Zotero 插件