Erroneously Suspected Ovarian Cancer in a 38-Year-Old Woman with Pelvic Inflammatory Disease and Chlamydia
Joint Authors
Fink, Daniel
Brun, Romana
Hutmacher, Juliane
Imesch, Patrick
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-12-13
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Chlamydia trachomatis is the most common bacterial cause of sexually transmitted disease and can cause pelvic inflammatory disease (PID), leading to severe outcomes such as ectopic pregnancy, infertility, or pelvic pain.
We report a case of a 38-year-old patient with abdominal pain and dyspareunia.
Clinical examination revealed diffuse abdominal tenderness.
Vaginal and abdominal sonography showed substantial ascites and CA-125 level was elevated.
Therefore, the attendant physician performed an abdominal CT scan for further diagnosis.
Radiographically diffuse peritoneal enhancement, consistent with peritoneal carcinomatosis, 4-quadrant ascites, and slightly enlarged ovaries with solid and cystic structures were diagnosed, leading to the suspicion of ovarian cancer.
In addition, the results of the cervical smear PCR for chlamydia were positive.
Due to the positive chlamydia result, the suspicious CT scan, and the young age, we decided to perform a diagnostic laparoscopy as a first step.
Intraoperatively, the ovaries were of normal aspect without any cancerous lesions.
However, the ascites and the yellow-reddish jelly-like deposits were consistent with acute PID.
Thus, chlamydia infection may simulate the presentation of ovarian cancer.
Therefore, especially in young patients, we recommend careful scrutiny of every diagnosis of ovarian cancer even if its presentation seems to be typical.
American Psychological Association (APA)
Brun, Romana& Hutmacher, Juliane& Fink, Daniel& Imesch, Patrick. 2017. Erroneously Suspected Ovarian Cancer in a 38-Year-Old Woman with Pelvic Inflammatory Disease and Chlamydia. Case Reports in Obstetrics and Gynecology،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1147324
Modern Language Association (MLA)
Brun, Romana…[et al.]. Erroneously Suspected Ovarian Cancer in a 38-Year-Old Woman with Pelvic Inflammatory Disease and Chlamydia. Case Reports in Obstetrics and Gynecology No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1147324
American Medical Association (AMA)
Brun, Romana& Hutmacher, Juliane& Fink, Daniel& Imesch, Patrick. Erroneously Suspected Ovarian Cancer in a 38-Year-Old Woman with Pelvic Inflammatory Disease and Chlamydia. Case Reports in Obstetrics and Gynecology. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1147324
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147324