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복부-골반 전산화단층촬영으로 진단된 Fitz-Hugh-Curtis 증후군 2례

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Author(s)
진상찬최우익
Alternative Author(s)
Jin, Sang ChanChoi, Woo Ik
Issued Date
2006
Keyword
Fitz-Hugh-Curtis syndromePelvic inflammatory diseasePerihepatitis
Abstract
Fitz-Hugh-Curtis (FHC) syndrome has been described as perihepatitis associated
with pelvic inflammatory disease (PID) that results in the inflammation of liver capsule and
diaphragm. In many cases, FHC syndrome is caused by Chlamydia trachomatis and Neisseria
gonorrhea. In the acute phase, FHC syndrome is associated with right upper quadrant pain and the
liver capsule becomes involved with inflammatory exudates that later forms violin string between
liver capsule and adjacent diaphragm or peritoneum. A definitive diagnosis of FHC syndrome is to
detect of a violin string-like adhesion or to identify causative organisms such as Chlamydia
trachomatis and Neisseria gonorrhea, which requires laparoscopy or laparotomy. However, it is
possible to diagnosis FHC syndrome which demonstrates a linear enhancement around the liver
capsule with high resolution computerized tomography (CT). We experienced two cases of FHC
syndrome diagnosed with non-invasive method and treated successfully by oral administration of
antibiotics.
Alternative Title
Two Cases of Fitz-Hugh-Curtis Syndrome Diagnosed by
Abdominopelvic Computerized Tomography
Department
Dept. of Emergency Medicine (응급의학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.25(1) : 52-56, 2006
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15939
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2006
1. School of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학)
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