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RISS 인기검색어
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- 저자 : 함영찬(Young Chan Ham) (검색결과 1 건)
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함영찬(Young Chan Ham),이강률(Kang Lyool Lee),신동규(Dong Gue Shin),강성구(Seong Ku Kang),박상수(Sang Soo Park),윤진(Jin Yoon),김혁중(Hyuk Jung Kim),김일명(Il Myung Kim) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.76 No.1
Purpose: Fitz-Hugh-Curtis (FHC) syndrome has been described as perihepatitis associated with pelvic inflammatory disease during surgery. Recently, on computerized tomography a linear enhancement of the liver capsule was detected in a patient with FHC syndrome. We studied to evaluate the clinical course of the disease. Methods: Sixteen patients diagnosed with FHC syndrome from CT findings were retrospectively studied from April, 2006 to June, 2008. Results: The mean age of the patients was 25.9 (19∼35) years and mean duration of abdominal pain was 3.9 (1∼14) days. The most common complaint was right upper quadrant area pain (11 cases, 68.8%). 12 patients showed leukocytosis and all the patients had elevated serum C-reative protein levels. All the patients had normal liver function. Among the 9 patients which had polymerase chain reaction test for sexually transmitted disease (Chlamydia trachomatis, Ureaplasma urealyticum, Neisseria gonorrheae, Mycoplasma hominis), all showed more than one positive results (Chlamydia trachomatis 6 cases, Ureaplasma urealyticum 6 cases, Mycoplasma hominis 2 cases). On simple abdomen X-ray, 7 cases (43.8%) showed paralytic ileus. 14 cases received only antibiotic treatment, but 1 case had to take operation (laparoscopic-assisted adhesiolysis) due to constant abdominal pain and prolonged ileus. Conclusion: It is important to rule out FHC syndrome by using CT findings, especially young women with right upper abdominal pain and PID. Usually, FHC syndrome can be treated easily with proper antibiotics.
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