Marrero MJA, Perdomo CB, Fleites LA, Guerra OR

Language: Spanish
References: 10
Page: 140-144
PDF size: 282.60 Kb.

ABSTRACT

The inability to conceive after one year of unprotected intercourse is a term accepted as infertility. In Cuba 15-20% of couples require some type of help to conceive a child. Hysterosalpingography is one of the established studies that should be performed when the etiology of this inability is sought, especially when a possible tubal-peritoneal cause is suspected. Fitz-Hugh-Curtis syndrome or perihepatitis, consists of an inflammation of the liver capsule, caused by an infection (chlamydial infection is the most common), as an extrapelvic manifestation of an inflammatory disease. The unsuspected finding of this syndrome was reported during the performance of hysterosalpingography, associated with a bilateral tubal obstruction, without clinical symptoms, which led us to suspect a previous pelvic infectious process, as a possible etiological factor of the difficulty to conceive.

REFERENCES

1. Practice Committee of the American Society for Reproductive Medicine. Role of tubal surgery in the era of assisted reproductive technology: a committee opinion. Fertil Steril. 2015;103(6):37-43.

2. Stajano C. La reacción frénica en Ginecología. Semana Méd.1920;27:243-8.

3. Curtis A. A cause of adhesions in the right upper quadrant. JAMA. 1930;94(16):1221-2.

4. Fitz-Hugh T Jr. Acute gonococcic peritonitis of the right upper quadrant in women. JAMA. 1934;102(25):2094-6.

5. Onoh RC, Mgbafuru CC, Onubuogu SE, UgwuokeI. Fitz-Hugh-Curtis syndrome: An incidental diagnostic finding in an infertility workup. Niger J Clin Pract. 2016;19(6):834-6.

6. Ikonomidis A, Strakas M, Stavrou AG, Papageorgiou E, Lainis A, Tsamparli M, et al. Fitz-Hugh-Curtis syndrome in a 16-year-old female due to Ureaplasma urealyticum. Eur J Obstet Gynecol. 2015;194:261-2.

7. Coremans L, de Clerck F. Fitz-Hugh-Curtis syndrome associated with tuberculous salpingitis and peritonitis: a case presentation and review of literature. BMC Gastroenterol. 2018;18(1):42.

8. Kishore K, Pallimulla J, Bennett S, Pallimulla M. An unexpected finding in a woman who underwent laparoscopy. JAAPA. 2015;28(8):59.

9. Rouhard S, Maldague P, Ramboux A. Fitz-Hugh-Curtis syndrome in a man. Endoscopy [internet]. 2014 Jan. 20 [citado 18 jul. 2018];46(Suppl. 1):[aprox. 5 p.]. Disponible en: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0033-1358804

10. Bayuaji H, Permadi W, Nazaruddin Nataprawira HM. The Fitz-Hugh-Curtis Syndrome and Hydrosalpinx: Analysis of Findings in Gynecologic Laparoscopy Procedure of Infertile Women. OALibJ [internet]. 2017 Jul. [citado 18 jul. 2018];4(7):[aprox. 8 p.]. Disponible en: https://www.scirp.org/journal/PaperInformation.aspx?paperID=77456