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KMID : 0371320090760010036
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Journal of the Korean Surgical Society
2009 Volume.76 No. 1 p.36 ~ p.42
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Clinical Experiences of Fitz-Hugh-Curtis Syndrome
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Ham Young-Chan
Lee Kang-Lyool
Shin Dong-Gue
Kang Seong-Ku
Park Sang-Soo
Yoon Jin
Kim Hyuk-Jung
Kim Il-Myung
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Abstract
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Purpose: Fitz-Hugh-Curtis (FHC) syndrome has been described as perihepatitis associated with pelvic inflammatory disease during surgery. Recently, on computerized tomography a linear enhancement of the liver capsule was detected in a patient with FHC syndrome. We studied to evaluate the clinical course of the disease.
Methods: Sixteen patients diagnosed with FHC syndrome from CT findings were retrospectively studied from April, 2006 to June, 2008.
Results: The mean age of the patients was 25.9 (19∼35) years and mean duration of abdominal pain was 3.9 (1∼14) days. The most common complaint was right upper quadrant area pain (11 cases, 68.8%). 12 patients showed leukocytosis and all the patients had elevated serum C-reative protein levels. All the patients had normal liver function. Among the 9 patients which had polymerase chain reaction test for sexually transmitted disease (Chlamydia trachomatis, Ureaplasma urealyticum, Neisseria gonorrheae, Mycoplasma hominis), all showed more than one positive results (Chlamydia trachomatis 6 cases, Ureaplasma urealyticum 6 cases, Mycoplasma hominis 2 cases). On simple abdomen X-ray, 7 cases (43.8%) showed paralytic ileus. 14 cases received only antibiotic treatment, but 1 case had to take operation (laparoscopic-assisted adhesiolysis) due to constant abdominal pain and prolonged ileus.
Conclusion: It is important to rule out FHC syndrome by using CT findings, especially young women with right upper abdominal pain and PID. Usually, FHC syndrome can be treated easily with proper antibiotics.
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KEYWORD
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Fitz-Hugh-Curtis syndrome, Computed tomography, Perihepatitis, Pelvic inflammatory disease
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