# Chlamydia and Perihepatitis (Fitz-Hugh-Curtis Syndrome) in an 18-Year-Old Male: A Case Report

## TL;DR

An 18-year-old male was diagnosed with chlamydia and perihepatitis, a condition typically seen in women, highlighting the importance of recognizing this in males.

## Contribution

This case report highlights the rare occurrence of perihepatitis in a male patient due to chlamydia.

## Key findings

- The patient was diagnosed with peritonitis and extraluminal air in the liver vasculature.
- Testing confirmed the presence of Chlamydia trachomatis as the underlying cause.
- The case emphasizes the need to consider pelvic inflammatory disease-like infections in male patients.

## Abstract

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 Chlamydia trachomatis, 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.