Two Cases of Fitz - Hugh - Curtis Syndrome Associated with Ectopic Pregnancy.

Kim, Seung Jun; Ro, Kyung Jun; Jung, Young Jin; Choi, Jong Hyun; Park, Tae Hun; Kang, Young Jae

Case Report

Korean Journal of Obstetrics & Gynecology 1999;42(10):2391-2395.
Published online January 1, 2001.

Two Cases of Fitz - Hugh - Curtis Syndrome Associated with Ectopic Pregnancy.

Seung Jun Kim, Kyung Jun Ro, Young Jin Jung, Jong Hyun Choi, Tae Hun Park, Young Jae Kang

Abstract

Fitz-Hugh-Curtis syndrome is a condition in which, as a result of pelvic inflammatory disease, the liver capsule becomes involved with inflammatory exudate that later leaves violin string adhesions. Although in the past Neisseria gonorrhea was thought to be the only etiological agent, recent data indicate that Chlamydia trachomatis may play an important role in perihepatitis. Perihepatic adhesions may be an aftereffect of the acute hepatic episode, and because the cause of ectopic pregnancy is thought to be salpingitis, women with an ectopic pregnancy may have a higher prevalence of coexisting perihepatic adhesion. The incidence of this conditon in ectopic gestation was reported to be 14-34 %. Direct observation of the liver and pelvis through laparoscope is the most definitive method of diagnosing salpingitis and perihepatitis. Standard treatement regimens recommended for salpingitis are adequate also for treatement of perihepatitis. We have experienced two cases of Fitz-Hugh-Curtis syndrome associated with ectopic pregnancy, and report with the brief review of the literatures.

Key Words: Fitz-Hugh-Curtis syndrome, Ectopic pregnancy, Fitz-Hugh-Curtis