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A Case of Fitz-Hugh-Curtis syndrome in a male patient

  • Lee, Si Hyeong (Department of Internal Medicine, Inje University, College of Medicine, Busan Paik Hospital) ;
  • Yang, Ju Il (Department of Internal Medicine, Inje University, College of Medicine, Busan Paik Hospital) ;
  • Choi, Jung Sik (Department of Internal Medicine, Inje University, College of Medicine, Busan Paik Hospital)
  • Received : 2016.07.29
  • Accepted : 2016.08.22
  • Published : 2018.12.31

Abstract

Fitz-Hugh-Curtis syndrome has been described as perihepatitis associated with pelvic inflammatory disease (PID). It is classically seen in premenopausal young women who have right upper quadrant pain, usually but not always accompanied by symptoms of PID, and is frequently confused with biliary tract disease. However, the syndrome has rarely been reported in males. The predominant symptom is right upper quadrant pain, but PID may not be present in male patients. Here, we report a case of Fitz-Hugh-Curtis syndrome in a young male patient, which was diagnosed by serological tests and computed tomography. Fitz-Hugh-Curtis syndrome should be considered as a possible cause of pain in the right upper quadrant in male patients, although such a case is very rare.

Keywords

References

  1. Bolton JP, Darougar S. Perihepatitis. Br Med Bull 1983;39:159-62. https://doi.org/10.1093/oxfordjournals.bmb.a071809
  2. Curtis AH. A cause of adhesions in the right upper quadrant. JAMA 1930;94:1221-2. https://doi.org/10.1001/jama.1930.02710420033012
  3. Fitz-Hugh T. Acute gonococcic peritonitis of the right upper quadrant in women. JAMA 1934;102:2094-6. https://doi.org/10.1001/jama.1934.02750250020010
  4. Muller-Schoop JW, Wang SP, Munzinger J, Schlapfer HU,Knoblauch M, Tammann RW. Chlamydia trachomatis as possible cause of peritonitis and perihepatitis in young women. Br Med J 1978;1:1022-4. https://doi.org/10.1136/bmj.1.6119.1022
  5. Wang SP, Eschenbach DA, Holmes KK, Wager G, Grayston JT. Chlamydia trachomatis infection in Fitz-Hugh-Curtis syndrome. Am J ObstetGynecol 1980;138:1034-8. https://doi.org/10.1016/0002-9378(80)91103-5
  6. Lopes-Zeno JA, Keith LG, Berger GS. The Fitz-Hugh-Curtis syndrome revisited. changing perspectives after half a century. J Reprod Med 1985;30:567-82.
  7. Counselman FL. An unusual presentation of Fitz-Hugh-Curtis syndrome. J Emerg Med 1994;12:167-70. https://doi.org/10.1016/0736-4679(94)90694-7
  8. Nishie A, Yoshimitsu K, Irie H, Yoshitake T, Aibe H, Tajima T, et al. Fitz-Hugh-Curtis syndrome radiologic manifestation. J Comput Assist Tomogr 2003;27:786-91. https://doi.org/10.1097/00004728-200309000-00017
  9. Ris HW. Perihepatitis (Fitz-Hugh--Curtis syndrome). A review and case presentation. J Adolesc Health Care 1984;5:272-6. https://doi.org/10.1016/S0197-0070(84)80131-X
  10. Joo SH, Kim MJ, Lim JS, Kim JH, Kim KW. CT diagnosis of Fitz-Hugh and Curtis syndrome: value of the arterial phase scan. Korean J Radiol 2007;8:40-7. https://doi.org/10.3348/kjr.2007.8.1.40
  11. Kimball MW, Knee S. Gonococcal perihepatitis in a male. The Fitz-Hugh--Curtis syndrome. N Engl J Med 1970;282:1082-4. https://doi.org/10.1056/NEJM197005072821908
  12. Francis TI, Osoba AO. Gonococcal hepatitis (Fitz-Hugh-Curtis syndrome) in a male patient. Br J Vener Dis 1972;48:187-8.
  13. Davidson AC, Hawkins DA. Pleuritic pain: Fitz Hugh Curtis syndrome in a man. Br Med J(Clin Res Ed) 1982;284:808. https://doi.org/10.1136/bmj.284.6318.808
  14. Baek HC, Bae YS, Lee KJ, Kim DH, Bae SH, Kim DH, et al. [A case of Fitz-Hugh-Curtis syndrome in a male]. Korean J Gastroenterol 2010;55:203-7. https://doi.org/10.4166/kjg.2010.55.3.203
  15. Lee SC, Nah BG, Kim HS, Choi TH, Lee SH, Lee JY, et al. [Two cases of Fitz-Hugh-Curtis syndrome in acute phase]. Korean J Gastroenterol 2005;45:137-42.
  16. Owens S, Yeko TR, Bloy R, Maroulis GB. Laparoscopic treatment of painful perihepatic adhesions in Fitz-Hugh-Curtis syndrome. ObstetGynecol 1991;78:542-3.
  17. Oehme A, Musholt PB, Dreesbach K. Chlamydiae as pathogens--an overview of diagnostic techniques, clinical features, and therapy of human infections. KlinWochenschr 1991;69:463-73.
  18. Kechagia N, Bersimis S, Chatzipanagiotou S. Incidence and antimicrobial susceptibilities of genital mycoplasmas in out-patient women with clinical vaginitis in Athens, Greece. J Antimicrob Chemother 2008;62:122-5. https://doi.org/10.1093/jac/dkn158
  19. Ham YC, Lee KL, Shin DG, Kang Sk, Park SS, Yoon J, et al. Clinical Experience of Fitz-Hugh-Curtis Syndrome. J Korean SurgSoc 2009;76:36-42. https://doi.org/10.4174/jkss.2009.76.1.36
  20. Yang HW, Jung SH, Han HY, Kim A, Lee YJ, Cha SW, et al. [Clinical feature of Fitz-Hugh-Curtis syndrome: analysis of 25 cases.] Korean J Hepatol 2008;14:178-84. https://doi.org/10.3350/kjhep.2008.14.2.178