Sánchez GR, González MF, Ruiz HMS

Language: Spanish
References: 8
Page: 122-125
PDF size: 156.47 Kb.

ABSTRACT

Objective: To present an unusual clinical case in our environment, with some difficulties to establish the pre-operative diagnosis. The case refers to a patient who received attention at the Service of General Surgery. Design: A case description. Place: Second-level attention hospital, Tuxtla Gutiérrez, Chiapas. The case description: Female patient being 47 years old, with a personal record of long-evolution diabetes mellitus, previous surgeries, and repetition of multi-treated cervicovaginitis. The patient was attended due to pain presentation in the right superior (upper) quadrant, which was initially diagnosed as irritable bowel syndrome and acid-peptic disease. The performed ultrasound practice reported chronic lithiasic cholecystitis and diffuse liver disease. The patient is referred to the Service of General Surgery for cholecystectomy, as well to the Service of Gastroenterology to establish the record due to a possible hepatic neoplasia, which is discarded then. The performed laparoscopic cholecystectomy found out filiform (thread-like – violin chords) perihepatic adhesions as the main findings. After this, an adhesiolysis is performed. The post-operative laboratory reported positive results for anti-Chlamydia antibodies. An antimicrobial treatment is prescribed. Currently, the patient is asymptomatic. Conclusion: The Fitz-Hugh-Curtis (FHC) syndrome is very unusual in our environment, and it is probably subdiagnosed. It is difficult to establish a pre-operative diagnosis.

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