Chlamydia trachomatis infection in Fitz-Hugh-Curtis syndrome

Wang, San Pin; Eschenbach, David A.; Holmes, King K.; Wager, Gael P.; Grayston, J. T.

doi:10.1016/0002-9378(80)91103-5

Cited by 108 publications

(46 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, in 1978, Muller-Schoop et al presented, for the first time, evidence that patients who had undergone laparoscopic evaluation due to peritonitis were also diagnosed with perihepatitis and were infected with Chlamydia trachomatis [6]. Paavonen et al and Wang et al came to the same conclusion in their own studies a few years later [7,8]. This pathogen has also been isolated from the cervix, the fallopian tubes, and, in some cases, the liver capsule in patients with perihepatitis, thus making C. trachomatis a more common pathogen than N. gonorrhoeae in patients with Fitz-Hugh-Curtis syndrome [9,10].…”

Section: Introductionsupporting

confidence: 52%

“…Women who had undergone placement of an intrauterine contraceptive device (IUD) within the previous 6 weeks had higher laparoscopic evidence of perihepatitis than those who retained such device for a longer period. Other studies from Paavonen et al and Wang et al demonstrated significantly lower laparoscopic and clinical evidence of perihepatitis related to PID [7,8].…”

Section: Methods and Findingsmentioning

confidence: 96%

See 1 more Smart Citation

Fitz-Hugh–Curtis syndrome

Theofanakis

Kyriakidis

2010

Gynecol Surg

View full text Add to dashboard Cite

Fitz-Hugh-Curtis syndrome is characterized by perihepatic inflammation appearing with pelvic inflammatory disease (PID), mostly in women of childbearing age. Acute pain and tenderness in the right upper abdomen is the most common symptom that makes women visit the emergency rooms. It can also emerge with fever, nausea, vomiting, and, in fewer cases, pain in the left upper abdomen. It seems that the pathogens that are mostly responsible for this situation is Chlamydia trachomatis and Neisseria gonorrhoeae. Because of its characteristics, differential diagnosis for this syndrome is a constant, as it mimics many known diseases, such as cholelithiasis, cholecystitis, and pulmonary embolism. The development of CT scanning provided diagnosticians with a very useful tool in the process of recognizing and analyzing the syndrome. Nevertheless, the only secure diagnostic method is the laparoscopic evaluation of the abdomen and the spotting of the unique "violin-string" adhesions between the liver and the abdominal wall or the diaphragm. Though it is a difficult diagnosis, the syndrome and, therefore, the PID that caused its outburst are usually easily treated with courses of antibiotics, as monotherapy or combined, with satisfactory results.

show abstract

Section: Introductionsupporting

confidence: 52%

Section: Methods and Findingsmentioning

confidence: 96%

Fitz-Hugh–Curtis syndrome

Theofanakis

Kyriakidis

2010

Gynecol Surg

View full text Add to dashboard Cite

show abstract

“…Its presence is confirmed by laparoscopic visualization of filmy perihepatic adhesions. Fitz-Hugh-Curtis syndrome is believed to occur from the transperitoneal or vascular dissemination of either gonococcal or chlamydial organisms to the perihepatic region, inducing a local inflammatory response [48]. Its presence suggests fairly profound pathogenic inoculation.…”

Section: Clinical Featuresmentioning

confidence: 99%

Benign Gynecologic Conditions

Boyle

Torrealday

2008

Surgical Clinics of North America

View full text Add to dashboard Cite

“…2e6 In women with mildemoderate PID, the incidence was 23/529 (4.3%). 2 In women with systemic symptoms, 15/124 (12%) had FHCS. 3 Eighteen of 65 (28%) women with moderate to severe PID had symptomatic FHCS on laparoscopy, 4 as did 24/274 (8.8%) in another study in which the severity of disease was not reported).…”

Section: Introductionmentioning

confidence: 99%