Saurabh Shireesh, Unger Eric, Pavlides Constantinos
Drexel University College of Medicine, Philadelphia, PA 19102, USA.
Case Rep Surg. 2012;2012:457272. doi: 10.1155/2012/457272. Epub 2012 Mar 26.
Fitz-Hugh-Curtis syndrome is a condition characterized by inflammation of the liver capsule with concomitant pelvic inflammation without involvement of liver parenchyma. It is classically seen in young women who present with sharp, pleuritic right upper quadrant pain, usually but not always accompanied by symptoms of pelvic inflammatory disease (PID), and is frequently confused with biliary tract disease. Rarely the syndrome has been reported in males, and hematogenous and lymphatic spread to liver is thought to be the underlying mechanism. Serological tests and computed tomography (CT) scan may aid in diagnosis of Fitz-Hugh-Curtis syndrome. Definitive diagnosis is made by laparoscopy, which provides both diagnostic and therapeutic benefits. We report a case of Fitz-Hugh-Curtis syndrome in a young male patient, which was diagnosed and treated by laparoscopy. We also include a review of the literature.
菲茨-休-柯蒂斯综合征是一种以肝包膜炎症伴盆腔炎症且不累及肝实质为特征的疾病。典型表现为年轻女性出现右上腹锐痛、胸膜炎性疼痛,通常但并非总是伴有盆腔炎(PID)症状,且常与胆道疾病相混淆。该综合征在男性中罕见报道,血行和淋巴播散至肝脏被认为是潜在机制。血清学检查和计算机断层扫描(CT)有助于菲茨-休-柯蒂斯综合征的诊断。通过腹腔镜检查可做出明确诊断,其兼具诊断和治疗作用。我们报告一例年轻男性患者的菲茨-休-柯蒂斯综合征,该病例通过腹腔镜检查进行了诊断和治疗。我们还纳入了文献综述。