Kotadia Anup H, Raney Kenneth
Internal Medicine, Methodist Health System, Dallas, USA.
Cureus. 2025 Jun 18;17(6):e86282. doi: 10.7759/cureus.86282. eCollection 2025 Jun.
Perihepatitis, a complication of pelvic inflammatory disease, is most commonly observed in women. This condition results from inflammation of the liver capsule, leading to scarring and adhesions in the abdominal cavity with associated complications. We present the case of an 18-year-old male with three months of abdominal pain. Upon admission, he was diagnosed with peritonitis, and imaging revealed extraluminal air in the liver vasculature. He was found to be positive for , leading to a diagnosis of chlamydia and perihepatitis. Recognizing pelvic inflammatory disease-like intraabdominal infections in male patients is crucial, given it has the potential to cause lifelong intraabdominal complications.
肝周炎是盆腔炎的一种并发症,多见于女性。这种情况是由肝包膜炎症引起的,会导致腹腔内瘢痕形成和粘连,并伴有相关并发症。我们报告一例18岁男性,有三个月腹痛病史。入院时,他被诊断为腹膜炎,影像学检查显示肝血管系统有腔外气体。检测发现他衣原体呈阳性,从而诊断为衣原体感染和肝周炎。认识到男性患者中类似盆腔炎的腹腔内感染至关重要,因为它有可能导致终身腹腔内并发症。