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An odyssey through Fitz-Hugh Curtis syndrome

Journal of Reproduction and Contraception 2015年第3期26卷 173-186页

作者： Ibrahim I BOLAJI Ka Yan Shirley SZE Department of Obstetrics and Gynaecology Hull York Medical School (HYMS) Diana Princess of Wales Hospital NLa G NHS Foundation Trust Scartho Road Grimsby DN33 2BA UK

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.

关键词： Fitz-Hugh Curtis syndrome (FHCS) perihepatitis Chlamydia trachomatis pelvic inflammatory disease (PID)

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Case of Fitz-Hugh-Curtis syndrome in male without presentation of sexually transmitted disease

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World Journal of Clinical Cases 2015年第11期3卷 965-969页

作者： Haram Yi Chan Sup Shim Gyu Won Kim Jung Seok Kim In Zoo Choi Department of Internal Medicine Sahmyook Seoul Hospital Global Digestive Disease Center Department of Internal Medicine Konkuk University Medical Center

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.

关键词： Male Right upper quadrant pain Fitz-Hugh-Curtis syndrome perihepatitis Sexually transmitted disease Liver capsular infection

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