Neisseria gonorrhoeae (Ng) is a major cause of morbidity among sexually active individuals, occasionally leading to serious complications if left untreated. We describe a case of gonococcal peritonitis as a rare complication of Ng infection in a woman presenting with acute abdomen and intestinal subacute occlusion. Due to the rarity of this clinical presentation, we review the scientific literature to identify best practices and inform guidelines.
ChanPARobinetteAMontgomeryM, et al.Extragenital infections caused by Chlamydia trachomatis and Neisseria gonorrhoeae: a review of the literature. Infect Dis Obstet Gynecol2016; 2016: 1–17.
3.
WhelanJEeuwijkJBungeE, et al.Systematic literature review and quantitative analysis of health problems associated with sexually transmitted Neisseria gonorrhoeae infection. Infect Dis Ther2021; 10(4): 1887–1905.
4.
AlHammadiMSchembriACallejaL, et al.Unusual presentation of disseminated gonococcal infection. Sex Transm Infect. 2024; 100(3): 192.
5.
StassenWNMcCulloughAJHiltonPK. Spontaneous bacterial peritonitis caused by Neisseria gonorrhoeae. Evidence for a transfallopian route of infection. Gastroenterology1985; 88(3): 804–807.
6.
AkahaneTKawakamiYOanaK. A case of bacterial peritonitis caused by Neisseria gonorrhoeae. Kansenshogaku Zasshi2001; 75(10): 894–897.
7.
BrunelASFraisseTLechicheC, et al.[A sexually transmitted peritonitis]. Med Maladies Infect2008; 38(4): 233–234.
8.
WilmoreSMReynoldsCJ. Gonococcal peritonitis diagnosed post laparotomy in a 38-year-old woman: a case report. Cases J2009; 2: 8080.
9.
AlfouzanWDharR. Unexplained peritonitis due to Neisseria gonorrhoeae secondary to a sterile tubo-ovarian abscess. Kuwait Medical Journal2015; 47(2): 166–177.
10.
GreedsMAJVan DrielLJTrienekensT, et al.Purulente peritonitis door een gonokokkeninfectie. Dutch J Med2019; 163: D3412.
11.
De FrancescoMAStefanelliPCarannanteA, et al.Management of a case of peritonitis due to Neisseria gonorrhoeae infection following pelvic inflammatory disease (PID). Antibiotics2020; 9(4): 193.
12.
MwandiaGSimonRPolenakovikH, et al.Neisseria gonorrhoeae spontaneous bacterial peritonitis. Case Rep Infect Dis2021; 2021: 8865339.
13.
LujánMJEzquerroMRomeraA, et al.Gonococcal pelviperitonitis: a diagnostic challenge. An del Sist Sanit Navar2021; 44(1): 107–112.
14.
AssiRHashimPReddyV, et al.Sexually transmitted infections of the anus and rectum. World J Gastroenterol2014; 20(41): 15262–15268.
