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

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.