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.