Soto-Dávalos BA, Bandera-Delgado A, Morales-Plascencia MG, Pozzo-Magaña JA, Luna-Martínez J

Language: Spanish
References: 18
Page: 118-121
PDF size: 135.17 Kb.

ABSTRACT

Objective: To describe the pathological association between the Fitz-Hugh-Curtis syndrome (SFHC) and cholelithiasis in an immunosuppressed patient.
Design: Case report.
Background: The SFHC is defined as the presence of adhesions in “violin string” appearance, between the liver and the abdominal wall, secondary to perihepatitits caused by chlamydial or gonococcal salpingitis. The patient presents fever and right upper quadrant pain with Pelvic Inflammatory Disease (PID), which is known to occur in 4 to 14% of all salpingitis cases. Differential diagnosis includes cholecystitis and pancreatitis.
Case description: 27 year-old woman with terminal renal failure, who received a renal graft of an emotionally-related living donor and was treated with an immunosuppressive drug regimen. She had a history of repeated genital tract infections and now has right upper quadrant pain, hepatobiliary ultrasound confirmed the diagnosis of cholelithasis and a laparoscopic cholecystectomy was performed finding perihepatic adhesions.
Conclusion: The SFHC is a non-surgical cause of abdominal pain, for this reason it is important to make differential diagnosis with other pathologies that course with right upper quadrant pain. SFHC must be suspected in all patients with pelvic inflammatory disease and right upper quadrant pain.

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