Fitz-Hugh–Curtis syndrome: Three cases of incidental diagnosis during laparoscopy

Ricci, Paolo; Lema, Rodrigo; Solà, V.; Fernández, Carlos; Fabres, Cecilia; Fernández, E.; Pardo, J.

doi:10.1080/01443610802058411

Cited by 15 publications

(17 citation statements)

References 9 publications

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“…The other eight patients (36%) had no typical RUQ pain symptom but experienced pain in the epigastrium or only in the lower abdomen, or they had fever and other systemic symptoms. Even when there is no pain in the right upper abdomen, which is the characteristic of Fitz-Hugh-Curtis syndrome when it occurs as perihepatic inflammation, the possibility of Fitz-Hugh-Curtis syndrome can not be ruled out completely [11,12] . Though it is not typical, diagnosis of Fitz-Hugh-Curtis syndrome with the major symptom of pain in the lower abdomen with pelvic inflammation or systemic symptoms should be considered.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcome of Fitz-Hugh-Curtis syndrome mimicking acute biliary disease

Woo

Kim

Cheung³

et al. 2008

WJG

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AIM:To analyze the clinical characteristics of patients diagnosed with Fitz-Hugh-Curtis syndrome. METHODS:The clinical courses of patients that visited St. Mary's Hospital with abdominal pain from January 2005 to December 2006 and were diagnosed with Fitz-Hugh-Curtis syndrome were examined. RESULTS: Fitz-Hugh-Curtis syndrome was identified in 22 female patients of childbearing age; their mean age was 31.0 ± 8.1 years. Fourteen of these cases presented with pain in the upper right abdomen alone or together with pain in the lower abdomen, and six patients presented with pain only in the lower abdomen. The first impression at the time of visit was acute cholecystitis or cholangitis in 10 patients and acute appendicitis or pelvic inflammatory disease in eight patients. Twenty-one patients were diagnosed by abdominal computer tomography (CT), and the results of abdominal sonography were normal for 10 of these patients. Chlamydia trichomatis was isolated from 18 patients. Two patients underwent laparoscopic adhesiotomy and 20 patients were completely cured by antibiotic treatment. CONCLUSION:For women of childbearing age with acute pain in the upper right abdomen alone or together with pain in the lower abdomen, Fitz-HughCurtis syndrome should be considered during differential diagnosis. Moreover, in cases suspected to be Fitz-HughCurtis syndrome, abdominal CT, rather than abdominal sonography, assists in the diagnosis.

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Section: Discussionmentioning

confidence: 99%

Clinical outcome of Fitz-Hugh-Curtis syndrome mimicking acute biliary disease

Woo

Kim

Cheung³

et al. 2008

WJG

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“…The main mechanism of this pathology is attributed to hemato-lymphatic and peritoneal spread of pelvic infections to the liver and hyper-immune response to Chlamydia trachomatis infection [16]; with both processes leading to peri-hepatic and liver capsular inflammation. This syndrome often presents concomitantly with RUQ and lower abdominal pain.…”

Section: Resultsmentioning

confidence: 99%

Chlamydia trachomatis-induced Fitz-Hugh–Curtis syndrome: a case report

et al. 2017

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BackgroundFitz-Hugh–Curtis syndrome is defined as perihepatitis associated with pelvic inflammatory disease. Chlamydia trachomatis is one of its most common aetiologies. This syndrome usually presents with right upper quadrant abdominal pain mimicking other hepatobiliary and gastrointestinal pathologies, hence, posing a diagnostic dilemma in settings with limited diagnostic tools.Case reportA 32 year old African female presented with acute right upper quadrant abdominal pain and vaginal discharge, for which she had previously received treatment in another health center with no improvement. Clinical and laboratory findings were suggestive of Fitz-Hugh–Curtis syndrome. Five days after treatment with oral doxycycline, the patient showed marked clinical improvement.ConclusionFitz-Hugh–Curtis syndrome is a common cause of right upper quadrant pain which is often under diagnosed in poor communities. Hence, it should be included as a differential diagnosis in patients presenting with right upper quadrant pain, especially in females of reproductive age.

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“…While in the chronic phase, by laparoscopy or laparotomy, adhesions of the liver capsule to the abdominal wall are observed, typically described as "violin string", that is the diagnostic criteria. It occurs in 12-14% of cases of PID (3,7). The common etiologic agent isolated was N. gonorrhoeae, however since 1985, LopezZeno et al (2), showed that C. trachomatis was the most common germ.…”

Section: Discussionmentioning

confidence: 99%

“…About half of the cases present fever, purulent endocervical exudate, cervical and adnexal sensitivity (1,2,5). It has also been reported that subclinical PID is characterized histologically by neutrophils and plasma cells in endometrial tissue and is the most common cause of tubal factor infertility (3,5,6). The classic etiologic agent is the N. gonorrhoeae, however in recent years the C. trachomatis has been detected with increasing frequency (2,6).…”

Section: Introductionmentioning

confidence: 99%