A young married lady presented with right upper quadrant pain and after clinical assessment and investigations she was diagnosed with calculus cholecystitis. An elective laparoscopic cholecystectomy was planned, but on getting the entry in the peritoneal cavity an interesting view was encountered. There were dense adhesions in the right upper abdomen, liver adherent to the abdominal wall and a normal looking gallbladder with bluish hue and few tiny intraluminal stones. There was peri-hepatitis with bilateral inflamed fallopian tubes. The patient was diagnosed with Fitz-Hugh-Curtis syndrome (FHCS), a complication of pelvic inflammatory disease. Treatment is hence directed towards the underlying cause. FHCS is a diagnosis of exclusion and confirmed on laparoscopic exploration. Cervical swabs and samples of fluid taken from the peritoneum and liver surface can aid in diagnosis. The most common organisms are Chlamydia trachomatis and Neisseria gonorrhoeae. Although most of the patients are young women, there are case reports of this entity in men as well. Management is to treat the underlying PID. Laparoscopic release of peri-hepatic bands may aid in pain relief. Complications include sepsis, infertility, and adhesive bowel disease. This may not be a common disease, but it can leave permanent scars. The underlying PID should be treated urgently to minimize the collateral damage. Education and couple therapy is important as prevention is the best treatment.
| Published in | Journal of Surgery (Volume 11, Issue 1) |
| DOI | 10.11648/j.js.20231101.11 |
| Page(s) | 1-4 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Perihepatitis, Fitz-Hugh-Curtis Syndrome, Pelvic Inflammatory Disease
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APA Style
Rabia Ikram, Ali Hassan, Anam Waseem. (2023). Acute Cholecystitis VS Fitz-Hugh-Curtis Syndrome: A Case Report and Literature Review. Journal of Surgery, 11(1), 1-4. https://doi.org/10.11648/j.js.20231101.11
ACS Style
Rabia Ikram; Ali Hassan; Anam Waseem. Acute Cholecystitis VS Fitz-Hugh-Curtis Syndrome: A Case Report and Literature Review. J. Surg. 2023, 11(1), 1-4. doi: 10.11648/j.js.20231101.11
AMA Style
Rabia Ikram, Ali Hassan, Anam Waseem. Acute Cholecystitis VS Fitz-Hugh-Curtis Syndrome: A Case Report and Literature Review. J Surg. 2023;11(1):1-4. doi: 10.11648/j.js.20231101.11
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author = {Rabia Ikram and Ali Hassan and Anam Waseem},
title = {Acute Cholecystitis VS Fitz-Hugh-Curtis Syndrome: A Case Report and Literature Review},
journal = {Journal of Surgery},
volume = {11},
number = {1},
pages = {1-4},
doi = {10.11648/j.js.20231101.11},
url = {https://doi.org/10.11648/j.js.20231101.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231101.11},
abstract = {A young married lady presented with right upper quadrant pain and after clinical assessment and investigations she was diagnosed with calculus cholecystitis. An elective laparoscopic cholecystectomy was planned, but on getting the entry in the peritoneal cavity an interesting view was encountered. There were dense adhesions in the right upper abdomen, liver adherent to the abdominal wall and a normal looking gallbladder with bluish hue and few tiny intraluminal stones. There was peri-hepatitis with bilateral inflamed fallopian tubes. The patient was diagnosed with Fitz-Hugh-Curtis syndrome (FHCS), a complication of pelvic inflammatory disease. Treatment is hence directed towards the underlying cause. FHCS is a diagnosis of exclusion and confirmed on laparoscopic exploration. Cervical swabs and samples of fluid taken from the peritoneum and liver surface can aid in diagnosis. The most common organisms are Chlamydia trachomatis and Neisseria gonorrhoeae. Although most of the patients are young women, there are case reports of this entity in men as well. Management is to treat the underlying PID. Laparoscopic release of peri-hepatic bands may aid in pain relief. Complications include sepsis, infertility, and adhesive bowel disease. This may not be a common disease, but it can leave permanent scars. The underlying PID should be treated urgently to minimize the collateral damage. Education and couple therapy is important as prevention is the best treatment.},
year = {2023}
}
TY - JOUR T1 - Acute Cholecystitis VS Fitz-Hugh-Curtis Syndrome: A Case Report and Literature Review AU - Rabia Ikram AU - Ali Hassan AU - Anam Waseem Y1 - 2023/02/09 PY - 2023 N1 - https://doi.org/10.11648/j.js.20231101.11 DO - 10.11648/j.js.20231101.11 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 1 EP - 4 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20231101.11 AB - A young married lady presented with right upper quadrant pain and after clinical assessment and investigations she was diagnosed with calculus cholecystitis. An elective laparoscopic cholecystectomy was planned, but on getting the entry in the peritoneal cavity an interesting view was encountered. There were dense adhesions in the right upper abdomen, liver adherent to the abdominal wall and a normal looking gallbladder with bluish hue and few tiny intraluminal stones. There was peri-hepatitis with bilateral inflamed fallopian tubes. The patient was diagnosed with Fitz-Hugh-Curtis syndrome (FHCS), a complication of pelvic inflammatory disease. Treatment is hence directed towards the underlying cause. FHCS is a diagnosis of exclusion and confirmed on laparoscopic exploration. Cervical swabs and samples of fluid taken from the peritoneum and liver surface can aid in diagnosis. The most common organisms are Chlamydia trachomatis and Neisseria gonorrhoeae. Although most of the patients are young women, there are case reports of this entity in men as well. Management is to treat the underlying PID. Laparoscopic release of peri-hepatic bands may aid in pain relief. Complications include sepsis, infertility, and adhesive bowel disease. This may not be a common disease, but it can leave permanent scars. The underlying PID should be treated urgently to minimize the collateral damage. Education and couple therapy is important as prevention is the best treatment. VL - 11 IS - 1 ER -
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