Transvaginal-peritoneal migration of Trichomonas vaginalis as a cause of ascites. A report of two cases

Genital tract colonization with Trichomonas vaginalis usually results in vaginitis without systemic manifestations. There are only four recorded cases of Trichomonas recovered from pelvic organs or peritoneal fluid. This report describes two additional women in whom motile flagellate organisms were recovered from abdominopelvic ascites. We hypothesize that an ascending trichomonal infection may have played an etiologic role in the development of their acute disease.