Harada Ko, Iwamuro Masaya, Hanayama Yoshihisa, Otsuka Fumio
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
Acta Med Okayama. 2016;70(2):145-9. doi: 10.18926/AMO/54194.
Fitz-Hugh-Curtis syndrome is characterized by an inflammation of the perihepatic capsules associated with pelvic inflammatory disease. The typical symptom is severe right upper quadrant abdominal pain. We report a patient with Fitz-Hugh-Curtis syndrome who presented with an atypical chief complaint of right-side chest pain unaccompanied by symptoms specific to pelvic inflammatory disease. This case indicates that Fitz-Hugh-Curtis syndrome should be considered in the differential diagnosis of right-side chest pain in young women, because early diagnosis and treatment of the disease are essential to prevent chronic complications.
菲茨-休-柯蒂斯综合征的特征是与盆腔炎相关的肝包膜周围炎症。典型症状是右上腹剧痛。我们报告了一名患有菲茨-休-柯蒂斯综合征的患者，其主要症状不典型，表现为右侧胸痛，且无盆腔炎的特异性症状。该病例表明，对于年轻女性右侧胸痛的鉴别诊断应考虑菲茨-休-柯蒂斯综合征，因为该疾病的早期诊断和治疗对于预防慢性并发症至关重要。
