213 results match your criteria Fitz-Hugh-Curtis Syndrome
Zhonghua Gan Zang Bing Za Zhi 2018 Jun;26(6):469-470
Department of Gastroenterology, Institute of Surgery Research, Daping Hospital, Army Military Medical University, Chongqing 400042, China.
Cir Cir 2018 ;86(5):455-458
Servicio de Cirugía del Aparato Digestivo, Hospital HM Rosaleda, Santiago de Compostela, La Coruña, España.
El síndrome de Fitz-Hugh-Curtis (FHCS) es la inflamación de la cápsula hepática sin afectación del parénquima asociada a una enfermedad pélvica inflamatoria. Hay muy pocos casos descritos en varones. El síntoma característico es el dolor abdominal en el cuadrante superior derecho, que hace que se confunda el cuadro con una enfermedad de la vía biliar. Read More
Clin Case Rep 2018 Jul 2;6(7):1396-1397. Epub 2018 Jun 2.
Chelsea and Westminster Hospital London UK.
Diagnosis of Fitz-Hugh-Curtis is challenging due to its rarity and its similar presentation to common intra-abdominal conditions, such as cholecystitis or appendicitis. In our case, the adherent cecal and omental mass felt on examination were thought to be an appendiceal mass secondary to perforation, hence the patient underwent a diagnostic laparoscopy. Read More
Pediatr Emerg Care 2018 May 23. Epub 2018 May 23.
Fitz-Hugh-Curtis syndrome is an extrapelvic manifestation of sexually transmitted infections. Partly because of the lack of specific clinical and laboratory features, this diagnosis is often missed or delayed. We describe a series of cases of patients with Fitz-Hugh-Curtis syndrome, where the diagnosis was initially not recognized and patients underwent extensive evaluations for their symptoms. Read More
Ann Emerg Med 2018 May;71(5):e111-e112
University of Alabama at Birmingham, Birmingham, AL.
BMC Gastroenterol 2018 Mar 20;18(1):42. Epub 2018 Mar 20.
Department of Hepatology and Gastroenterology, AZ Sint-Lucas, Groene Briel 1, 9000, Ghent, Belgium.
Background: Fitz-Hugh-Curtis syndrome or acute perihepatitis is considered a rare complication of pelvic inflammatory disease, mostly associated with chlamydial or gonococcal salpingitis. Peritoneal tuberculosis is a rare site of extra-pulmonary infection caused by Mycobacterium tuberculosis. Infection usually occurs after reactivation of latent tuberculous foci in the peritoneum and more seldom after contiguous spread from tuberculous salpingitis. Read More
J Med Ultrason (2001) 2018 Oct 20;45(4):611-615. Epub 2018 Feb 20.
Department of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan.
Fitz-Hugh-Curtis syndrome (FHCS) is defined as inflammation on the surface of the liver following sexually transmitted chlamydia infection. We successfully observed the microvascular structure of the inflamed portion between the abdominal wall and surface of the liver in an elderly patient with FHCS using a superb microvascular imaging (SMI) system, a new technology developed for observing minute vascular flow. An 80-year-old Japanese female with right dorsal to lateral abdominal pain and fever came to our hospital. Read More
Clin J Gastroenterol 2018 Aug 7;11(4):338-342. Epub 2018 Feb 7.
Department of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan, Fukuoka, 814-0180, Japan.
Fitz-Hugh-Curtis syndrome (FHCS) is characterized by perihepatic and pelvic inflammation and occurs mostly in women of childbearing age. Here, we report a case of FHCS caused by Chlamydia trachomatis in a 50-year-old man. The patient presented to our hospital with right upper quadrant abdominal pain, and enhanced computed tomography revealed perihepatic and pelvic free fluid and early-phase hepatic capsular enhancement. Read More
Am J Case Rep 2017 Dec 29;18:1396-1400. Epub 2017 Dec 29.
Department of Internal Medicine, Hospital de Clínicas "Jose de San Martin", University of Buenos Aires, Buenos Aires, Argentina.
BACKGROUND Fitz-Hugh-Curtis (FHC) syndrome is a perihepatitis linked to inflammatory pelvic disease. It can be caused by Neisseria gonorrhoeae or Chlamydia trachomatis infections. FHC syndrome usually presents with pain in the right hypochondrium and fever, associated with symptoms and signs of pelvic infection in women. Read More
Joint Bone Spine 2018 Oct 16;85(5):627-628. Epub 2017 Dec 16.
Department of Rheumatology, Clinical Research Center for Allergy and Rheumatology, National Hospital Organization, Sagamihara National Hospital, 18-1, Sakuradai, Minami-ku, Sagamihara-shi, 252-0392 Kanagawa, Japan.
Indian J Med Res 2017 Jan;145(1):147
Department of Gastroenterology, Bombay Hospital & Institute of Medical Sciences, Mumbai 400 020, Maharashtra, India.
BMC Womens Health 2017 01 13;17(1). Epub 2017 Jan 13.
Department of Obstetrics and Gynecology, Hallym University Medical Center, 22 Gwanpyeong-ro 170beon-gil, Dongan-gu, Anyang-si, Gyeonggi-do, 431-796, South Korea.
Background: Chlamydia infection in acute pelvic inflammatory disease (PID) is associated with serious complications including ectopic pregnancy, tubal infertility, Fitz-Hugh-Curtis syndrome and tubo-ovarian abscess (TOA). This study compared clinical and laboratory data between PID with and without chlamydia infection.
Methods: The medical records of 497 women who were admitted with PID between 2002 and 2011 were reviewed. Read More
BMC Res Notes 2017 Jan 3;10(1):10. Epub 2017 Jan 3.
Department of Medicine, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Background: Fitz-Hugh-Curtis syndrome is defined as perihepatitis associated with pelvic inflammatory disease. Chlamydia trachomatis is one of its most common aetiologies. This syndrome usually presents with right upper quadrant abdominal pain mimicking other hepatobiliary and gastrointestinal pathologies, hence, posing a diagnostic dilemma in settings with limited diagnostic tools. Read More
J Surg Case Rep 2016 Dec 20;2016(12). Epub 2016 Dec 20.
Surgery Department, University of Ilorin Teaching Hospital Ilorin, Ilorin, Nigeria.
Small intestinal volvulus is rare in adults and rarely caused by string adhesions between the liver and the diaphragm. Similar adhesions were described in Fitz-Hugh-Curtis syndrome. We report a 45-year-old lady with small intestinal volvulus from entrapment of a loop in string adhesions between the liver and the diaphragm. Read More
Abdom Radiol (NY) 2017 03;42(3):935-950
Department of Medical Imaging, University of Arizona, 1501 N Campbell Ave., PO Box 245067, Tucson, AZ, 85724, USA.
Pelvic inflammatory disease (PID) is an ascending infection of the female genital tract caused by the spread of bacteria from the vagina to the pelvic reproductive organs and occasionally the peritoneum. The most common causative organisms are sexually transmitted. PID is a significant source of morbidity among reproductive age women both as a cause of abdominal pain and as a common cause of infertility. Read More
Perit Dial Int 2016 11-12;36(6):693-695
Department of Nephrology & Hypertension, Meir Hospital, Kfar-Saba, Israel
Fitz-Hugh-Curtis syndrome (FHCS) is a condition characterized by inflammation of the liver capsule (perihepatitis) and adjacent peritoneal surfaces. We report a case of FHCS developing in a peritoneal dialysis (PD) patient in whom catheter removal due to recurrent peritonitis was complicated by post-operative wound infection. To the best of our knowledge, this is the first case description of FHCS in the context of PD. Read More
Niger J Clin Pract 2016 Nov-Dec;19(6):834-836
Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
A case of Fitz-Hugh-Curtis syndrome in a 32-year-old para 1+1 is reported. She presented with inability to conceive of 4 years duration. Her husband's semen analysis was within normal range. Read More
Radiographics 2016 Sep-Oct;36(5):1579-96
From the Department of Diagnostic Radiology (M.V.R., M.M., H.B.D., M.S.) and Department of Obstetrics and Gynecology and Reproductive Sciences (M.L.M.), Yale University School of Medicine, 333 Cedar St, PO Box 208042, Room TE-2, New Haven, CT 06520.
Pelvic inflammatory disease (PID) is a common medical problem, with almost 1 million cases diagnosed annually. Historically, PID has been a clinical diagnosis supplemented with the findings from ultrasonography (US) or magnetic resonance (MR) imaging. However, the diagnosis of PID can be challenging because the clinical manifestations may mimic those of other pelvic and abdominal processes. Read More
Klin Khir 2016 Mar(3):30-2
A content of a biliary ways microflora and its correlation with clinical form and severity of inflammatory-destructive processes in hepatopancreatobiliary zone were studied up. The investigation objective was the optimization of a treatment--diagnostic tactics for the complications and remote recurrences rate reduction in a complicated biliary calculous disease. There was established, that a standard bacteriological investigation do not give a possibility to estimate some causes of a biliary ducts affection, a chlamidial infection in particular. Read More
BMJ Case Rep 2016 Jun 22;2016. Epub 2016 Jun 22.
Department of Internal Medicine, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan.
A 23-year-old Japanese woman, previously a commercial sex worker, presented with a 2-day history of right upper quadrant (RUQ) abdominal pain, worse on deep inspiration. She had noticed increased vaginal discharge 2 months earlier and had developed dull, lower abdominal pain 3 weeks prior to presentation. Although pelvic examination and transvaginal ultrasonography revealed neither a tubal nor ovarian pathology, abdominal CT scan with contrast demonstrated early enhancement of the hepatic capsule, a finding pathognomonic for Fitz-Hugh-Curtis syndrome (FHCS). Read More
Acta Med Okayama 2016 ;70(2):145-9
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
Fitz-Hugh-Curtis syndrome is characterized by an inflammation of the perihepatic capsules associated with pelvic inflammatory disease. The typical symptom is severe right upper quadrant abdominal pain. We report a patient with Fitz-Hugh-Curtis syndrome who presented with an atypical chief complaint of right-side chest pain unaccompanied by symptoms specific to pelvic inflammatory disease. Read More
J Emerg Med 2016 Apr;50(4):e197-8
Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, Texas.
New Microbes New Infect 2016 Jan 14;9:8-10. Epub 2015 Nov 14.
Democritus University of Thrace, Department of Microbiology, Alexandroupolis, Greece.
A total of 301 men and women attending local urologists and gynaecologists in the state of Thessaly, central Greece, were tested for Chlamydia trachomatis, Ureaplasma spp., Mycoplasma genitalium and Mycoplasma hominis DNA. Investigation of the tet(M) gene, which confers tetracycline resistance in these genera, was also performed. Read More
BMC Womens Health 2016 Jan 16;16. Epub 2016 Jan 16.
Department of Surgery, Clinica luganese SA, Via Moncucco 10, 6900, Lugano, Switzerland.
Background: There are a lot of different causes of abdominal pain; in this case, a young woman suffers from three diseases with similar symptoms. Adult intestinal mal-rotation is a rare condition of deviation from the normal 270° counter clockwise rotation of the midgut resulting in, not only mal-position of the small intestine, but also mal-fixation of the mesentery. Fitz-Hugh-Curtis syndrome is a rare complication of pelvic inflammatory disease; it involves liver capsule inflammation associated with genital tract infection, which is usually caused by Neisseria gonorrhoea and Chlamydia trachomatis. Read More
Acta Clin Belg 2015 Oct;70(5):357-8
Department of Emergency, CHU Dinant Godinne, Université catholique de Louvain , Yvoir, Belgium.
Fitz-Hugh-Curtis (FHC) syndrome, also known as acute perihepatitis, was discovered in 1930 and is a rare disorder characterised by inflammation of the peritoneum and the tissues surrounding the liver. This syndrome can arise as a potential complication from a pelvic inflammatory disease caused by Neisseria gonorrhoeae or Chlamydia trachomatis. This syndrome is not well known in the medical community and is often underdiagnosed. Read More
World J Clin Cases 2015 Nov;3(11):965-9
Haram Yi, Gyu Won Kim, Jung Seok Kim, In Zoo Choi, Department of Internal Medicine, Sahmyook Seoul Hospital, Seoul 130711, South Korea.
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. Read More
Nihon Naika Gakkai Zasshi 2015 11;104(11):2388-92
Clin Med (Lond) 2015 Oct;15(5):447-51
Great Western Hospitals NHS Foundation Trust, Swindon, UK
Adolescence is a time of sexual risk-taking and experimentation but also vulnerability. Young people may present to general physicians with systemic symptoms of sexually transmitted infections (STIs), such as arthritis, hepatitis or rash, but may not necessarily volunteer information about sexual activity. It is important for physicians to ask directly about sexual risks and if appropriate test for STIs and pregnancy. Read More
Eur J Obstet Gynecol Reprod Biol 2015 Nov 29;194:261-2. Epub 2015 Aug 29.
Democritus University of Thrace, Alexandroupolis, Greece.
J Comput Assist Tomogr 2015 Nov-Dec;39(6):901-6
From the Department of Radiology, Kyung Hee University Hospital at Gangdong, School of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Purpose: This study aimed to evaluate the relationship between the degree of perihepatitis and the severity of pelvic inflammatory disease (PID) on multidetector computed tomography (MDCT).
Methods: A total of 177 women with PID who underwent biphasic abdominal computed tomography (CT) scans were enrolled. Two reviewers retrospectively reviewed the CT scans with consensus and subjectively categorized the severity of PID into 4 grades (normal, mild, moderate, and severe). Read More
JAAPA 2015 Aug;28(8):59-60
Kishore Kuppasani practices hepatology and transplant medicine at University Hospital in Newark, N.J. Jason Pallimulla is a student at Aureus University School of Medicine in Oranjestad, Aruba. Silas Bennett is a recent graduate of University of Health Sciences in Antigua, West Indies, and lives in Provo, Utah. Mahipa Pallimulla practices obstetrics and gynecology at St. Mary's Hospital in Passaic, N.J. The authors have disclosed no potential conflicts of interest, financial or otherwise.
J Phys Ther Sci 2015 Jun 30;27(6):1641-4. Epub 2015 Jun 30.
Medical Imaging Research Institute, Binzhou Medical University, China.
[Purpose] This study aimed to investigate the clinical diagnostic value of dynamic enhanced multislice computed tomography (MSCT) for Fitz-Hugh-Curtis syndrome (FHCS). [Subjects and Methods] This study retrospectively analyzed the clinical features and manifestations of scanning and dynamic enhanced MSCT in 19 patients with FHCS. [Results] MSCT scans showed different degrees of liver capsule thickness in the lesion area: seven cases of sub-capsular effusion and three cases with a small amount of pleural effusion; thickness of the liver capsular arterial phase showing significant enhancement in 17 cases, and slight enhancement in two; portal venous and delayed phase enhancement decreased with no clear boundary of the liver parenchyma; and adjacent hepatic parenchymal involvement in five cases, in which the arterial phase appeared to have patchy or triangular enhancement, and unclear portal vein and delayed phase imaging findings. Read More
Clin Imaging 2015 Sep-Oct;39(5):917-9. Epub 2015 Apr 25.
Department of Emergency Medicine, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea. Electronic address:
Fitz-Hugh-Curtis syndrome (FHCS) is inflammation of the liver capsule usually associated with pelvic inflammatory disease. FHCS has been rarely reported in male patients, and hematogenous and lymphatic spread to the liver is thought to be the underlying mechanism. Although a confirmatory diagnosis was made by laparoscopy, contrast-enhanced computed tomography scan is considered the first-line imaging tool in clinical diagnosis of FHCS. Read More
J Gastrointestin Liver Dis 2015 Mar;24(1):10
Hepatology Unit, Clinic Beau-Site, Hirslanden Bern, and Department of Gastroenterology and Hepatology, University Hospital Zürich, Switzerland.
Ned Tijdschr Geneeskd 2015 ;160:A9349
Rijnstate Ziekenhuis, afd. Interne Geneeskunde, Arnhem.
A 19-year-old woman was admitted to our hospital because of unexplained pain in the right upper abdomen and fever. Her medical history noted a recent uncomplicated pregnancy and birth of a healthy child. Our differential diagnosis included pyelonephritis, pulmonary embolism, pneumonia causing pleural pain, a gastrointestinal cause, or a subphrenic abscess. Read More
J Emerg Med 2015 Mar 12;48(3):e59-62. Epub 2014 Dec 12.
Gastroenterology Unit, Dipartimento di Scienze Mediche e Chirurgiche, University of Bologna, St Orsola Hospital, Bologna, Italy.
Background: Fitz-Hugh-Curtis syndrome is a rare extra-pelvic complication of genital infection involving the perihepatic capsule. Most cases have been described in women in association with pelvic inflammatory disease; in rare cases it has been reported in men. Because the main symptom is acute abdominal pain, and laboratory and imaging findings are frequently nonspecific, the differential diagnosis, considering other gastrointestinal or renal diseases, can be difficult in the early stage of the syndrome, leading to frequent misdiagnosis and mismanagement. Read More
J Gastroenterol Hepatol 2014 Nov;29(11):1853
Hepatology and Gastroenterology Unit, Niguarda Ca' Granda Hospital, Milan, Italy.
BMC Womens Health 2014 Aug 12;14:95. Epub 2014 Aug 12.
Department of Obstetrics and Gynecology, Korea University College of Medicine, 126-1, 5-ga Anam-dong, Seongbuk-gu, Seoul 136-705, South Korea.
Background: Fitz-Hugh-Curtis syndrome (FHCS) is caused by inflammation of perihepatic capsules associated with pelvic inflammatory disease. In recent years, infections with nontuberculous mycobacteria (NTM) have been increasingly occurring in immunocompromised and immunocompetent patients. However, NTM has never been reported in patients with FHCS. Read More
Pediatr Rev 2014 Feb;35(2):88-93
Advocate Children's Hospital-Oak Lawn Campus, Department of Pediatrics, Oak Lawn, IL.
Endoscopy 2014 20;46 Suppl 1 UCTN:E1. Epub 2014 Jan 20.
Department of Surgery, Clinique St Luc, Bouge, Namur, Belgium.
Int J Gynaecol Obstet 2014 Jan 5;124(1):81. Epub 2013 Oct 5.
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Intern Med 2013 ;52(22):2587-8
Department of Hepatology, Japanese Red Cross Society Himeji Hospital, Japan.
Rev Clin Esp (Barc) 2013 12 16;213(9):467-8. Epub 2013 Oct 16.
Private Practice, Mechanicsville, VA, USA. Electronic address:
Clin Med Insights Case Rep 2013 4;6:35-40. Epub 2013 Mar 4.
Department of Physiology I, Tohoku University Graduate School of Medicine, Seiryo-cho, Aoba-ku, Sendai, Miyagi, Japan.
A 27-year-old woman developed a low grade fever and increased vaginal discharge that persisted for 2 weeks. Intermittent abdominal pain in the right upper quadrant had been experienced over the previous few days. Due to her clinical manifestations and typical abdominal computed tomography (CT) findings, including hepatic capsular enhancement and hepatomegaly, a diagnosis of Fitz-Hugh-Curtis syndrome was made. Read More
Rev Clin Esp 2013 Jun-Jul;213(5):e49. Epub 2013 Mar 14.
Departamento de Medicina Interna, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Arch Pediatr 2013 Mar 29;20(3):289-91. Epub 2013 Jan 29.
Service de pédiatrie, centre hospitalier intercommunal de Cornouaille (CHIC), BP 1757, 29107 Quimper cedex, France.
One of the numerous causes of abdominal pain, Fitz-Hugh-Curtis syndrome (FHC) can occur in the pediatrician population. Its rapid diagnosis and treatment can avoid long-term complications, such as extra-uterine pregnancy and infertility. We report a case of FHC in a 16-year-old female caused by Chlamydia trachomatis. Read More
Clinics (Sao Paulo) 2012 Dec;67(12):1493-5
Sapienza University of Rome, Department of Surgical Sciences, Rome/IT.
Emerg Radiol 2013 Jun 12;20(3):185-95. Epub 2012 Oct 12.
Diagnostic Imaging Department, University of Maryland Medical Center, 22 S. Greene Street, Baltimore, MD 21201, USA.
An eponym is a name based on the name of a person, frequently as a means to honor him/her, and it can be used to concisely communicate or summarize a complex abnormality or injury. However, inappropriate use of an eponym may lead to potentially dangerous miscommunication. Moreover, an eponym may honor the incorrect person or a person who falls into disrepute. Read More