急性腹症を呈した若年者クラミジア性骨盤腹膜炎の2例

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  • Two Young Women with Clamydial Peritonitis Presenting with Acute Abdomen.

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Two cases of chlamydia peritonitis presenting with an acute abdomen in teenaged women are reported. Case 1 was a 15-year-old woman with abdominal pain and nausea. Because the woman's abdominal paindid not improve after receiving an injection of antibiotics, she underwent a laproscopic-assisted operation. Case 2 was a 17-year-old woman with a right lower abdominal pain. She had been previously diagnosed as having chlamydia cervicitis and was taking clarithromycin at the time. She was suspected of having acute appendicitis and underwent a laparotomy. Yellowish-red ascities were found, but the appendix showed no evidence of inflammation. Swollen mesenteric lymph nodes were observed intra-operatively near the ileum in case 1. Both patients tested positive for chlamydia IgA and IgG antibodies in their sera a few days after their operations. Recently, the incidence of sexually transmitted diseases have been increasing in young women. Therefore, chlamydial peritonitis should be considered as a possible underlying disease, and confirmed by detecting serum chlamydial antibodies in young women presenting with lower abdominal pain.

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