Clinical Features of Fitz-Hugh-Curtis Syndrome in the Emergency Department
Yonsei Medical Journal
;
: 753-758, 2012.
Artículo
en Inglés
| WPRIM
| ID: wpr-14589
ABSTRACT
PURPOSE:
Fitz-Hugh-Curtis Syndrome (FHCS) is a clinical entity characterized by inflammation of the liver capsule associated with genital tract infection. The aim of this study is to provide physicians with clinical suggestions for diagnostic approaches based on a series of patients who were diagnosed with FHCS. MATERIALS ANDMETHODS:
We conducted a retrospective study of patients who were diagnosed with FHCS after presenting to the emergency department (ED). The symptoms, physical examinations, laboratory findings, radiological findings, and progress of the patients were reviewed.RESULTS:
During the four-year study period, a total of 82 female patients received a final diagnosis of FHCS in the ED. Chlamydia trachomatis was identified as a pathogen in 89% of the patients. Their clinical characteristics and laboratory findings were described. Fifty-two patients (63.4%) were admitted to the hospital. All of the admitted patients improved after treatment combining antibiotic therapy with conservative care.CONCLUSION:
FHCS should be considered as a differential diagnosis for female patients of childbearing age with right upper abdominal pain. Timely diagnosis using biphasic computed tomography (CT) with arterial and portal phases may help ensure adequate medical treatment as well as avoid invasive procedures.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Peritonitis
/
Infecciones por Chlamydia
/
Tomografía Computarizada por Rayos X
/
Chlamydia trachomatis
/
Estudios Retrospectivos
/
Enfermedad Inflamatoria Pélvica
/
Servicio de Urgencia en Hospital
/
Infecciones del Sistema Genital
/
Hepatitis
/
Antibacterianos
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Adolescente
/
Adulto
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Yonsei Medical Journal
Año:
2012
Tipo del documento:
Artículo
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