Owens S, Yeko T R, Bloy R, Maroulis G B
Department of Obstetrics and Gynecology, University of South Florida, Tampa.
Obstet Gynecol. 1991 Sep;78(3 Pt 2):542-3.
This report illustrates a case of Fitz-Hugh-Curtis syndrome associated with pelvic inflammatory disease in which the clinical symptom of right upper quadrant pain was severe and persistent despite appropriate antibiotic therapy. Because of the atypical course, an extensive work-up was performed to rule out other possible etiologies for the pain. In this context, a laparoscopy was performed and identified dense adhesions between the liver and the anterior abdominal wall. These adhesions were safely and successfully lysed using a KTP/532 laser through a second puncture site. After surgery the pain was completely resolved, with no further recurrence after 6 months of follow-up.
本报告阐述了一例与盆腔炎相关的菲茨-休-柯蒂斯综合征病例，尽管进行了适当的抗生素治疗，但右上腹疼痛的临床症状仍严重且持续存在。由于病程不典型，进行了全面检查以排除疼痛的其他可能病因。在此情况下，进行了腹腔镜检查，发现肝脏与前腹壁之间有致密粘连。通过第二个穿刺点使用KTP/532激光安全且成功地松解了这些粘连。术后疼痛完全缓解，随访6个月后未再复发。
