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伴有右侧胸痛的菲茨-休-柯蒂斯综合征的罕见表现。

An Uncommon Manifestation of Fitz-Hugh-Curtis Syndrome with Right-side Chest Pain.

作者信息

Harada Ko, Iwamuro Masaya, Hanayama Yoshihisa, Otsuka Fumio

机构信息

Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.

出版信息

Acta Med Okayama. 2016;70(2):145-9. doi: 10.18926/AMO/54194.

Abstract

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.

摘要

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。

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