A case of Fitz-Hugh-Curtis syndrome diagnosed by pelvic CT imaging prior to diagnostic laparoscopy.

Ji, Eun Young; Kwon, Yong Il; Kim, Min Jeung; Kim, Sue Yeon; Chung, Jae Eun; Kim, Mee Ran; Lim, Young Taik; Bae, Seog Nyeon; Kim, Jin Hong

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(8):2005-2009.
Published online August 1, 2005.

A case of Fitz-Hugh-Curtis syndrome diagnosed by pelvic CT imaging prior to diagnostic laparoscopy.

Eun Young Ji, Yong Il Kwon, Min Jeung Kim, Sue Yeon Kim, Jae Eun Chung, Mee Ran Kim, Young Taik Lim, Seog Nyeon Bae, Jin Hong Kim

Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea. mrkim@catholic.ac.kr

Abstract

Fitz-Hugh-Curtis syndrome is an extrapelvic manifestation of PID. It is associated with right upper quadrant pain that likely results from the inflammation of liver capsule and diaphragm. The liver capsule becomes involved with inflammatory exudates that later forms violin string adhesion between two liver capsule and adjacent diaphragm or peritoneum. Previously, Neisseria gonorrhea was thought to be the only etiological agent, but recent studies have reported cases of Fitz-Hugh-Curtis syndrome due to Chlamydia trachomatis infection. 15 to 30 percents of women with PID develop symptom of Fitz-Hugh-Curtis syndrome. It is often mistakenly diagnosed as either pneumonia or acute cholecystitis. Laparoscopy may be the definitive method in diagnosis of Fitz-Hugh-Curtis syndrome. However, we have experienced one cases of Fitz-Hugh-Curtis syndrome, which was diagnosed preoperative by pelvic CT imaging and report with the brief review of the literatures.

Key Words: Fitz-Hugh-Curtis syndrome, Chlamydia trachomatis