Penev P
Vutr Boles. 1980;19(5):71-6.
The author reviews the literature data concerning etiology pathogenesis, clinical picture, diagnosis, differential diagnosis and treatment of gonococcal perihepatitis or the so called syndrome of Fitz-Hugh--Curtis. A female patient is described with gonococcal perihepatitis, the diagnosis being retrospectively made by the author on the base of laparoscopy findings and clinical data. Perihepatal adhesions reminding "violin strings" as well as chronic salpingitis were established at laparoscopy 3 years after the acute gonoccal perihepatitis. At the second laparoscopy, 8 years later, the findings were the same. In that case -- two characteristics are present, not described in literature so far: 1. Periodic pain under the right hypochondriac region for 11 years, manifested immediately prior to or during the menstrual cycle. 2. The presence of chronic circumscribed peritonitis on the abdominal wall, proceeding from the right half of the true pelvis, irradiating upwards to the right liver lobe. The author thinks that those two characteristics are not isolated but on the contrary--they are mutually conditioned.
作者回顾了有关淋菌性肝周炎或所谓的菲茨-休-柯蒂斯综合征的病因、发病机制、临床表现、诊断、鉴别诊断及治疗的文献资料。描述了一名患有淋菌性肝周炎的女性患者，作者根据腹腔镜检查结果和临床资料进行回顾性诊断。急性淋菌性肝周炎3年后腹腔镜检查发现肝周粘连呈“小提琴弦”样以及慢性输卵管炎。8年后第二次腹腔镜检查时，结果相同。在该病例中，存在两个迄今文献未描述的特征：1. 右季肋区周期性疼痛11年，在月经周期前或期间出现。2. 腹壁存在慢性局限性腹膜炎，起源于真骨盆右半侧，向上放射至右肝叶。作者认为这两个特征并非孤立存在，相反，它们相互关联。
