A 49-year-old man presented with a 1-week history of abdominal pain, distension, diarrhoea and fatigue. CT of the abdomen and pelvis revealed peritonitis with no identifiable cause. Diagnostic laparoscopy was performed, which excluded gastrointestinal perforation. Peritoneal fluid tested positive for Chlamydia trachomatis and rectal swabs were positive for C. trachomatis serovars consistent with lymphogranuloma venereum (LGV). Additional blood tests also revealed a diagnosis of syphilis. This is a rare documented case of LGV peritonitis in a male without associated immunodeficiency. The patient recovered well following laparoscopic washout and a course of appropriate antibiotics.
- urinary and genital tract disorders
- sexual health
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Contributors I, MA, can confirm that I have written this article and am the main author. All authors were involved in discussing, planning and writing of this case report. MA and PLL collected the data and spoke to the patient regarding any missing information and consent. We have added an author (KJO) from the sexual health department at our hospital who was able to contact the patient and get permission to access sexual health records in order to answer the editor's comments. MA, PLL, KJO and CDB all were part of the editing process and interpretation of the data. We all approved the final version that will be submitted.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.