Clinical Experiences of Fitz-Hugh-Curtis Syndrome.
10.4174/jkss.2009.76.1.36
- Author:
Young Chan HAM
1
;
Kang Lyool LEE
;
Dong Gue SHIN
;
Seong Ku KANG
;
Sang Soo PARK
;
Jin YOON
;
Hyuk Jung KIM
;
Il Myung KIM
Author Information
1. Department of Surgery, Seoul Medical Center, Seoul, Korea. shinedk@seoulmc.or.kr
- Publication Type:Original Article
- Keywords:
Fitz-Hugh-Curtis syndrome;
Computed tomography;
Perihepatitis;
Pelvic inflammatory disease
- MeSH:
Abdomen;
Abdominal Pain;
Anti-Bacterial Agents;
Chlamydia Infections;
Female;
Gonorrhea;
Hepatitis;
Humans;
Ileus;
Intestinal Pseudo-Obstruction;
Leukocytosis;
Liver;
Mycoplasma;
Mycoplasma hominis;
Neisseria;
Pelvic Inflammatory Disease;
Peritonitis;
Polymerase Chain Reaction;
Retrospective Studies;
Sexually Transmitted Diseases;
Ureaplasma urealyticum
- From:Journal of the Korean Surgical Society
2009;76(1):36-42
- CountryRepublic of Korea
- Language:Korean
-
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.
