Clinical Experiences of Fitz-Hugh-Curtis Syndrome
Journal of the Korean Surgical Society
;
: 36-42, 2009.
Article
in Korean
| WPRIM
| ID: wpr-95317
ABSTRACT
PURPOSE:
Fitz-Hugh-Curtis (FHC) syndrome has been described as perihepatitis associated with pelvic inflammatory disease during surgery. Recently, on computerized tomography a linear enhancement of the liver capsule was detected in a patient with FHC syndrome. We studied to evaluate the clinical course of the disease.METHODS:
Sixteen patients diagnosed with FHC syndrome from CT findings were retrospectively studied from April, 2006 to June, 2008.RESULTS:
The mean age of the patients was 25.9 (19~35) years and mean duration of abdominal pain was 3.9 (1~14) days. The most common complaint was right upper quadrant area pain (11 cases, 68.8%). 12 patients showed leukocytosis and all the patients had elevated serum C-reative protein levels. All the patients had normal liver function. Among the 9 patients which had polymerase chain reaction test for sexually transmitted disease (Chlamydia trachomatis, Ureaplasma urealyticum, Neisseria gonorrheae, Mycoplasma hominis), all showed more than one positive results (Chlamydia trachomatis 6 cases, Ureaplasma urealyticum 6 cases, Mycoplasma hominis 2 cases). On simple abdomen X-ray, 7 cases (43.8%) showed paralytic ileus. 14 cases received only antibiotic treatment, but 1 case had to take operation (laparoscopic-assisted adhesiolysis) due to constant abdominal pain and prolonged ileus.CONCLUSION:
It is important to rule out FHC syndrome by using CT findings, especially young women with right upper abdominal pain and PID. Usually, FHC syndrome can be treated easily with proper antibiotics.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritonitis
/
Intestinal Pseudo-Obstruction
/
Chlamydia Infections
/
Gonorrhea
/
Sexually Transmitted Diseases
/
Abdominal Pain
/
Polymerase Chain Reaction
/
Retrospective Studies
/
Pelvic Inflammatory Disease
/
Ureaplasma urealyticum
Type of study:
Observational study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Surgical Society
Year:
2009
Type:
Article
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