Bowel obstruction due to Chlamydia trachomatis: a case report and review of literature

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

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.