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2009, Number 3-4

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Rev Mex Cir Endoscop 2009; 10 (3-4)

Fitz-Hugh-Curtis Syndrome. A case report. Literature Review

Ramírez CG, De la Peña MS, Ramírez ACF, Liho NA

Language: Spanish
References: 19
Page: 126-129
PDF size: 156.21 Kb.


ABSTRACT

Objective: To review the incidence of the syndrome of Fitz-Hugh-Curtis and the current literature. Design: Case report. Introduction: Fitz-Hugh-Curtis syndrome, characterized by perihepatitis associated with genital tract infection. Diagnosis is difficult because it mimics other diseases. Is frequently confused with cholecystitis, especially when right upper quadrant pain. It’s even harder without pelvic symptoms classics. Case description: Women’s 48 years with a history of obstructive jaundice pattern 2 weeks before admission, accompanied by right upper quadrant pain in ultrasonography of liver and bile ducts is reported chronic cholelithiasis, choledocholithiasis is ruled by endoscopic retrograde cholangiopancreatography. Laparoscopic cholecystectomy was performed finding multiple fibrous adhesions perihepatic simulating «violin strings». It re-examine these findings, the patient reported a history Pelvic Inflammatory Disease completing one year subject to no established treatment for gynecology. Conclusion: Fitz-Hugh-Curtis syndrome is a non-surgical cause of abdominal pain, which preoperative diagnosis is difficult as reaching the same finding transoperative making it important to do a proper interrogation, have a high diagnostic suspicion and make a differential diagnosis with other entities that present with right upper quadrant pain.


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