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Clinical features of Fitz-Hugh-Curtis Syndrome in the emergency department

Authors
 Je Sung You  ;  Min Joung Kim  ;  Hyun Soo Chung  ;  Yong Eun Chung  ;  Incheol Park  ;  Sung Phil Chung  ;  Seungho Kim  ;  Hahn Shick Lee 
Citation
 Yonsei Medical Journal, Vol.53(4) : 753-758, 2012 
Journal Title
 Yonsei Medical Journal 
ISSN
 0513-5796 
Issue Date
2012
Abstract
PURPOSE: Fitz-Hugh-Curtis Syndrome (FHCS) is a clinical entity characterized by inflammation of the liver capsule associated with genital tract infection. The aim of this study is to provide physicians with clinical suggestions for diagnostic approaches based on a series of patients who were diagnosed with FHCS. MATERIALS AND METHODS: We conducted a retrospective study of patients who were diagnosed with FHCS after presenting to the emergency department (ED). The symptoms, physical examinations, laboratory findings, radiological findings, and progress of the patients were reviewed. RESULTS: During the four-year study period, a total of 82 female patients received a final diagnosis of FHCS in the ED. Chlamydia trachomatis was identified as a pathogen in 89% of the patients. Their clinical characteristics and laboratory findings were described. Fifty-two patients (63.4%) were admitted to the hospital. All of the admitted patients improved after treatment combining antibiotic therapy with conservative care. CONCLUSION: FHCS should be considered as a differential diagnosis for female patients of childbearing age with right upper abdominal pain. Timely diagnosis using biphasic computed tomography (CT) with arterial and portal phases may help ensure adequate medical treatment as well as avoid invasive procedures.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92119
Files in This Item:
T201202566.pdf Download
DOI
10.3349/ymj.2012.53.4.753
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실)
Yonsei Authors
김민정(Kim, Min Joung)
김승호(Kim, Seung Ho)
박인철(Park, In Cheol)
유제성(You, Je Sung)
이한식(Lee, Hahn Shick)
정성필(Chung, Sung Pil) ORCID logo https://orcid.org/0000-0002-3074-011X
정용은(Chung, Yong Eun)
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