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KMID : 0614620100550030203
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Korean Journal of Gastroenterology
2010 Volume.55 No. 3 p.203 ~ p.207
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A Case of Fitz-Hugh-Curtis Syndrome in a Male
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Baek Hyun-Choul
Bae Young Seok
Lee Kwang-Jae
Kim Dong-Hyun
Bae Sang-Hoon
Kim Dong-Wan
Yoon Jung-Bin
Song Chul-Soo
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Abstract
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Fitz-Hugh-Curtis syndrome has been described as focal perihepatitis accompanying pelvic inflammatory disease caused by Neisseria gonorrhea and Chlamydia trachomatis. The highest incidence occurs in young, sexually active females. However, the syndrome has been reported to occur infrequently in males, according to the foreign literature. The predominant symptoms are right upper quadrant pain and tenderness, and pleuritic right sided chest pain. The clinical presentation is similar in men and women. In women, the spread of infection to liver capsule is thought to occur directly from infected fallopian tube via the right paracolic gutter. In men, hematogenous and lymphatic spread is thought to be postulated. Recently, we experienced a case of Fitz-Hugh-Curtis syndrome occurred in a man. As far as we know, it is the first report in Korea, and we report a case with a review of the literature.
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KEYWORD
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Fitz-Hugh-Curtis syndrome, Perihepatitis, Man
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