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복부-골반 전산화단층촬영을 이용한 Fitz-Hugh-Curtis 증후군 진단의 유용성

Other Titles
 A Diagnostic Utility of Fitz-Hugh-Curtis Syndrome by Using contrast Enhanced Abdominopelvic Computerized Tomography 
Authors
 오제혁  ;  조영순  ;  최영환  ;  이한식 
Citation
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지), Vol.16(4) : 410-415, 2005 
Journal Title
Journal of the Korean Society of Emergency Medicine(대한응급의학회지)
ISSN
 1226-4334 
Issue Date
2005
MeSH
Pelvic Inflammatory Disease ; Chlamydia trachomatis ; Helical CT
Keywords
Pelvic Inflammatory Disease ; Chlamydia trachomatis ; Helical CT
Abstract
Purpose: Fitz-Hugh-Curtis (FHC) syndrome is characterized by right upper quadrant pain due to perihepatitis with pelvic inflammatory disease (PID). It is diagnosed by using its typical symptoms, but final diagnosis is made by confirmation of the presence of laparoscopically visualized perihepatic violin string like adhesions. However, laparoscopy is difficult to perform in the emergency department. Recently, on computerized tomography (CT) a linear enhancement of the liver capsule was detected in a patient with FHC syndrome. We present a review of a series of 11 cases in female of FHC syndrome diagnosed by CT.

Methods: We reviewed the medical records and the CT findings of 11 cases of FHC syndrome diagnosed during 7 months in the emergency department. The clinico radiologic criteria of our hospital is as follows: First, right upper quadrant pain. Second, linear enhancement of the liver capsule in the contrast enhancement phase of CT. Third, no pathologic findings for the liver, the gallbladder and the biliary tract in CT.

Results: Eleven patients were diagnosed during 7 months by using criteria. The mean age was 30.2 (range: 16~46) years. Seven patients had a history of PID within 6 months. Seven of the 9 patients who take a pelvic examination were positive in C. trachomatis PCR (polymerase chain reaction), and another patient had a positive N. gonorrhoeae cervix culture. One patient who showed negative in both the C. trachomatis PCR and the N. gonorrhoeae cervix culture had cultured E. coli in urine and blood culture.

Conclusion: CT makes easy the previously difficult diagnosis of FHC syndrome in female patients capable of pregnancy with right upper quadrant abdominal pain.
Files in This Item:
T200500679.pdf Download
DOI
OAK-2005-04058
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Hahn Shick(이한식)
Cho, Young Soon(조영순)
Choi, Young Hwan(최영환)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/150973
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