Sundal E, Stalder G A
Schweiz Med Wochenschr. 1980 Apr 5;110(14):540-3.
The Fitz-Hugh--Curtis syndrome is an extragenital manifestation of gonorrhea, characterized by fibrinous inflammation of the subphrenic area with violinstring-like adhesions between the liver surface and the parietal peritoneum. When such patients present with acute upper right quadrant pain, the differential diagnosis to other abdominal emergencies (cholecystitis, peptic ulcer disease etc.) may be difficult, because it will not always be possible to isolate the causative agent from the external genitals. In such cases only a laparoscopic approach will allow a correct diagnosis. Two case reports are discussed in the light of the literature.
菲茨-休-柯蒂斯综合征是淋病的一种生殖器外表现，其特征为膈下区域的纤维素性炎症，肝脏表面与壁层腹膜之间存在小提琴弦样粘连。当此类患者出现右上腹急性疼痛时，与其他腹部急症（胆囊炎、消化性溃疡病等）进行鉴别诊断可能会很困难，因为并非总能从外生殖器分离出病原体。在这种情况下，只有通过腹腔镜检查才能做出正确诊断。结合文献对两例病例报告进行了讨论。
