Wood J J, Bolton J P, Cannon S R, Allan A, O'Connor B H, Darougar S
Br J Surg. 1982 May;69(5):251-3. doi: 10.1002/bjs.1800690507.
Ten patients with biliary-type pain, in whom investigations of the biliary tract were negative, are reported. All the patients were sexually active premenopausal women and all had evidence of infection with chlamydia trachomatis. Five patients submitted to laparoscopy had fibrinous adhesions between the anterior surface of the liver and the parietal peritoneum (perihepatitis). All 10 patients were diagnosed as suffering from the Curtis-Fitz-Hugh syndrome caused by Chlamydia trachomatis. The clinical similarities between the Curtis-Fitz-Hugh syndrome (right upper quadrant abdominal pain, perihepatitis and genital tract infection) and acute biliary disease are emphasized and the diagnostic implications discussed.
报告了10例患有胆源性疼痛但胆道检查呈阴性的患者。所有患者均为性活跃的绝经前女性，且均有沙眼衣原体感染的证据。5例接受腹腔镜检查的患者在肝脏前表面与壁腹膜之间存在纤维蛋白粘连（肝周围炎）。所有10例患者均被诊断为沙眼衣原体引起的柯蒂斯-菲茨-休综合征。文中强调了柯蒂斯-菲茨-休综合征（右上腹疼痛、肝周围炎和生殖道感染）与急性胆道疾病之间的临床相似性，并讨论了其诊断意义。
