Radiologic diagnosis of Fitz-Hugh-Curtis syndrome  

作　　者：WANG Cheng-lin GUO Xue-jun YUAN Zhi-dong SHI Qiao HU Xiao-hong FANG Lin 

机构地区：[1]Department of Radiology, Peking University Shenzhen Hospital, Shenzhen, Guangdong 518026, China

出　　处：《Chinese Medical Journal》2009年第6期741-744,共4页中华医学杂志（英文版）

摘　　要：Fitz-Hugh-Curtis syndrome （FHCS） was reported by Curtis after he found a fibrous adhesion between the surface of the liver and peritoneum in patients with gonococcal pelvic inflammation during laparoscopy in 1930, and the first report by Fitz-Hugh as acute gonococcal peritonitis in the right upper quadrant abdomen was published in 1934, The so-called FHCS is believed to originate from an inflammation in the pelvis which may ascend toward the diaphragmatic surface of the liver along the right paracolic gutters to cause the inflammation of the liver capsule with right upper abdominal pain. Previously, FHCS was only seen in females at the age of 20 and 30 years and was often misdiagnosed as acute cholecystitis, cholelithiasis, gastrointestinal diseases, pleuritis, etc., because of involvement of the liver capsule and peritoneum with right upper abdominal pain as the major clinical symptom, which was related to the respiratory movement. We retrospectively reviewed 21 patients with FHCS to evaluate the clinical manifestations and CT and MRI findings of this disease.Fitz-Hugh-Curtis syndrome （FHCS） was reported by Curtis after he found a fibrous adhesion between the surface of the liver and peritoneum in patients with gonococcal pelvic inflammation during laparoscopy in 1930, and the first report by Fitz-Hugh as acute gonococcal peritonitis in the right upper quadrant abdomen was published in 1934, The so-called FHCS is believed to originate from an inflammation in the pelvis which may ascend toward the diaphragmatic surface of the liver along the right paracolic gutters to cause the inflammation of the liver capsule with right upper abdominal pain. Previously, FHCS was only seen in females at the age of 20 and 30 years and was often misdiagnosed as acute cholecystitis, cholelithiasis, gastrointestinal diseases, pleuritis, etc., because of involvement of the liver capsule and peritoneum with right upper abdominal pain as the major clinical symptom, which was related to the respiratory movement. We retrospectively reviewed 21 patients with FHCS to evaluate the clinical manifestations and CT and MRI findings of this disease.

关 键 词：Fitz-Hugh-Curtis syndrome LAPAROSCOPY acute gonococcal peritonitis 

分 类 号：R711[医药卫生—妇产科学]