Acute fibrinous perihepatitis due to genital tract infection has attracted sparse and fluctuating interest. The recent increase in the incidence of sexually transmitted disease and the recognition of Chlamydia trachom...Acute fibrinous perihepatitis due to genital tract infection has attracted sparse and fluctuating interest. The recent increase in the incidence of sexually transmitted disease and the recognition of Chlamydia trachomatis as a causative organism in both pelvic inflammatory disease （PID） and extra pelvic manifestation of PID have brought about the renewed interest in perihepatitis. This is likely to ensure that the clinical features of perihepatitis will now become widely recognised. This paper examines the evolution, clinical features, diagnosis and management of this interesting syndrome and emphasises the need to explore the upper abdomen during laparoscopic gynaecological surgery.展开更多
AIM: To analyze the clinical characteristics of patients diagnosed with Fitz-Hugh-Curtis syndrome.METHODS: The clinical courses of patients that visited St. Mary's Hospital with abdominal pain from January 2005 to...AIM: To analyze the clinical characteristics of patients diagnosed with Fitz-Hugh-Curtis syndrome.METHODS: The clinical courses of patients that visited St. Mary's Hospital with abdominal pain from January 2005 to December 2006 and were diagnosed with Fitz-Hugh-Curtis syndrome were examined.RESULTS: Fitz-Hugh-Curtis syndrome was identified in 22 female patients of childbearing age; their mean age was 31.0 ± 8.1 years. Fourteen of these cases presented with pain in the upper right abdomen alone or together with pain in the lower abdomen, and six patients presented with pain only in the lower abdomen. The first impression at the time of visit was acute cholecystitis or cholangitis in 10 patients and acute appendicitis or pelvic inflammatory disease in eight patients. Twenty-one patients were diagnosed by abdominal computer tomograghy (CT), and the results of abdominal sonography were normal for 10 of these patients. Chlamydia trichomatis was isolated from 18 patients. Two patients underwent laparoscopic adhesiotomy and 20 patients were completely cured by antibiotic treatment.CONCLUSION: For women of childbearing age with acute pain in the upper right abdomen alone or together with pain in the lower abdomen, Fitz-Hugh-Curtis syndrome should be considered during differential diagnosis. Moreover, in cases suspected to be Fitz-Hugh-Curtis syndrome, abdominal CT, rather than abdominal sonography, assists in the diagnosis.展开更多
Fitz-Hugh-Curtis syndrome （FHCS） was reported by Curtis after he found a fibrous adhesion between the surface of the liver and peritoneum in patients with gonococcal pelvic inflammation during laparoscopy in 1930, a...Fitz-Hugh-Curtis syndrome （FHCS） was reported by Curtis after he found a fibrous adhesion between the surface of the liver and peritoneum in patients with gonococcal pelvic inflammation during laparoscopy in 1930, and the first report by Fitz-Hugh as acute gonococcal peritonitis in the right upper quadrant abdomen was published in 1934, The so-called FHCS is believed to originate from an inflammation in the pelvis which may ascend toward the diaphragmatic surface of the liver along the right paracolic gutters to cause the inflammation of the liver capsule with right upper abdominal pain. Previously, FHCS was only seen in females at the age of 20 and 30 years and was often misdiagnosed as acute cholecystitis, cholelithiasis, gastrointestinal diseases, pleuritis, etc., because of involvement of the liver capsule and peritoneum with right upper abdominal pain as the major clinical symptom, which was related to the respiratory movement. We retrospectively reviewed 21 patients with FHCS to evaluate the clinical manifestations and CT and MRI findings of this disease.展开更多
Fitz-Hugh-Curtis syndrome is a type of perihepatitis that causes liver capsular infection without infecting the hepatic parenchyma or pelvis. Fitz-Hugh-Curtis syndrome is known to occur commonly in women of childbeari...Fitz-Hugh-Curtis syndrome is a type of perihepatitis that causes liver capsular infection without infecting the hepatic parenchyma or pelvis. Fitz-Hugh-Curtis syndrome is known to occur commonly in women of childbearing age who do not use oral contraceptives and have sexual partners older than 25 years of age. However, the syndrome has been reported to occur rarely in males. The clinical symptoms are right upper quadrant pain and tenderness, and pleuritic right sided chest pain. The clinical presentation is similar in male and female. We experienced a case of Fitz-HughCurtis syndrome in a 60-year-old man with the chief complaint of right upper quadrant abdominal pain. Despite a previous history of gonorrhea, we have also described our experiences of improved symptoms and recovery with allopathic medicines and have thereby reported the present case with a literature review.展开更多
目的了解盆腔感染综合征(F itz-Hugh-Curtis syndrom e FHCS)的发病情况及其与妇女不孕及异位妊娠的关系。方法选择2000年1月至2005年10月间于我院妇产科就诊并接受腹腔镜手术或开腹手术的1276例患者,在术中检查肝表面及肝周围情况,发...目的了解盆腔感染综合征(F itz-Hugh-Curtis syndrom e FHCS)的发病情况及其与妇女不孕及异位妊娠的关系。方法选择2000年1月至2005年10月间于我院妇产科就诊并接受腹腔镜手术或开腹手术的1276例患者,在术中检查肝表面及肝周围情况,发现符合FHCS的术中诊断标准的,则取患者的腹腔液或积血检测衣原体、支原体及淋球菌。结果①异位妊娠患者中FHCS的发生率为14.1%;②输卵管原因不孕者中FHCS的发生率为17.7%;③其他妇科疾病中FHCS的发生率为0.17%。④99例FHCS患者CT阳性者55例(55.56%),CT、UU均阳性者16例(16.16%)。结论以CT感染为主引起的FHCS是造成妇女不孕、宫外孕的因素之一。展开更多
文摘Acute fibrinous perihepatitis due to genital tract infection has attracted sparse and fluctuating interest. The recent increase in the incidence of sexually transmitted disease and the recognition of Chlamydia trachomatis as a causative organism in both pelvic inflammatory disease （PID） and extra pelvic manifestation of PID have brought about the renewed interest in perihepatitis. This is likely to ensure that the clinical features of perihepatitis will now become widely recognised. This paper examines the evolution, clinical features, diagnosis and management of this interesting syndrome and emphasises the need to explore the upper abdomen during laparoscopic gynaecological surgery.
文摘AIM: To analyze the clinical characteristics of patients diagnosed with Fitz-Hugh-Curtis syndrome.METHODS: The clinical courses of patients that visited St. Mary's Hospital with abdominal pain from January 2005 to December 2006 and were diagnosed with Fitz-Hugh-Curtis syndrome were examined.RESULTS: Fitz-Hugh-Curtis syndrome was identified in 22 female patients of childbearing age; their mean age was 31.0 ± 8.1 years. Fourteen of these cases presented with pain in the upper right abdomen alone or together with pain in the lower abdomen, and six patients presented with pain only in the lower abdomen. The first impression at the time of visit was acute cholecystitis or cholangitis in 10 patients and acute appendicitis or pelvic inflammatory disease in eight patients. Twenty-one patients were diagnosed by abdominal computer tomograghy (CT), and the results of abdominal sonography were normal for 10 of these patients. Chlamydia trichomatis was isolated from 18 patients. Two patients underwent laparoscopic adhesiotomy and 20 patients were completely cured by antibiotic treatment.CONCLUSION: For women of childbearing age with acute pain in the upper right abdomen alone or together with pain in the lower abdomen, Fitz-Hugh-Curtis syndrome should be considered during differential diagnosis. Moreover, in cases suspected to be Fitz-Hugh-Curtis syndrome, abdominal CT, rather than abdominal sonography, assists in the diagnosis.
文摘Fitz-Hugh-Curtis syndrome （FHCS） was reported by Curtis after he found a fibrous adhesion between the surface of the liver and peritoneum in patients with gonococcal pelvic inflammation during laparoscopy in 1930, and the first report by Fitz-Hugh as acute gonococcal peritonitis in the right upper quadrant abdomen was published in 1934, The so-called FHCS is believed to originate from an inflammation in the pelvis which may ascend toward the diaphragmatic surface of the liver along the right paracolic gutters to cause the inflammation of the liver capsule with right upper abdominal pain. Previously, FHCS was only seen in females at the age of 20 and 30 years and was often misdiagnosed as acute cholecystitis, cholelithiasis, gastrointestinal diseases, pleuritis, etc., because of involvement of the liver capsule and peritoneum with right upper abdominal pain as the major clinical symptom, which was related to the respiratory movement. We retrospectively reviewed 21 patients with FHCS to evaluate the clinical manifestations and CT and MRI findings of this disease.
文摘Fitz-Hugh-Curtis syndrome is a type of perihepatitis that causes liver capsular infection without infecting the hepatic parenchyma or pelvis. Fitz-Hugh-Curtis syndrome is known to occur commonly in women of childbearing age who do not use oral contraceptives and have sexual partners older than 25 years of age. However, the syndrome has been reported to occur rarely in males. The clinical symptoms are right upper quadrant pain and tenderness, and pleuritic right sided chest pain. The clinical presentation is similar in male and female. We experienced a case of Fitz-HughCurtis syndrome in a 60-year-old man with the chief complaint of right upper quadrant abdominal pain. Despite a previous history of gonorrhea, we have also described our experiences of improved symptoms and recovery with allopathic medicines and have thereby reported the present case with a literature review.
文摘目的了解盆腔感染综合征(F itz-Hugh-Curtis syndrom e FHCS)的发病情况及其与妇女不孕及异位妊娠的关系。方法选择2000年1月至2005年10月间于我院妇产科就诊并接受腹腔镜手术或开腹手术的1276例患者,在术中检查肝表面及肝周围情况,发现符合FHCS的术中诊断标准的,则取患者的腹腔液或积血检测衣原体、支原体及淋球菌。结果①异位妊娠患者中FHCS的发生率为14.1%;②输卵管原因不孕者中FHCS的发生率为17.7%;③其他妇科疾病中FHCS的发生率为0.17%。④99例FHCS患者CT阳性者55例(55.56%),CT、UU均阳性者16例(16.16%)。结论以CT感染为主引起的FHCS是造成妇女不孕、宫外孕的因素之一。
