Fitz-Hugh-Curtis syndrome
- Fitz-Hugh-Curtis syndrome
Infobox_Disease
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eMedicineSubj = med
eMedicineTopic = 797
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Fitz-Hugh-Curtis syndrome is a rare complication of pelvic inflammatory disease (PID) named after the two physicians, Fitz-Hugh and Curtis who first reported this condition in 1934 and 1930 respectively. [WhoNamedIt|synd|3324] [Fitz-Hugh Jr T. Acute gonococcic peritonitis of the right upper quadrant in women. "J Am Med Assoc" 1934;102:2094-2096.] [Curtis AH. A cause of adhesion in the right upper quadrant. "JAMA" 1930;94:1221-122.] ]Presentation
Fitz-Hugh-Curtis syndrome occurs almost exclusively in women. It is usually caused by gonorrhoea (acute gonococcal perihepatitis) or chlamydia bacteria, which cause a thinning of cervical mucous and allow bacteria from the vagina into the uterus and oviducts, causing infection and inflammation. Occasionally, this inflammation can cause scar tissue to form on Glisson's capsule, a thin layer of connective tissue surrounding the liver.
The signs are an acute onset, upper right-quadrant abdominal pain and tenderness aggravated by breathing, coughing or movement, and referred to the right shoulder following an episode of PID. Laparoscopy may reveal "violin string" adhesions.
Treatment
Treatment involves diagnosing and treating the underlying cause correctly. The adhesions can be cut laparoscopically.
References
External links
* [http://www.chlamydiae.com/restricted/docs/infections/gentrac_perihep.asp chlamydiae.com description of Perihepatitis]
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Fitz-Hugh-Curtis-Syndrom — Klassifikation nach ICD 10 K67* Krankheiten des Peritoneums bei anderenorts klassifizierten Infektionskrankheiten … Deutsch Wikipedia
Fitz-Hugh–Curtis syndrome — Fitz Hugh–Cur·tis syndrome (fitzґhu kurґtis) [Thomas Fitz Hugh Jr., American physician, 1894–1963; Arthur H. Curtis, American gynecologist, 1881–1955] see under syndrome … Medical dictionary
Syndrome de Fitz-Hugh-Curtis — Le syndrome de Fitz Hugh Curtis ou périhépatite est une péritonite se localisant sur l hypocondre droit. Sommaire 1 Origine 2 Symptômes 3 Diagnostic 4 Traitement … Wikipédia en Français
Fitz-Hugh — T., Jr., U.S. physician, 1894–1963. See Fitz Hugh and Curtis syndrome … Medical dictionary
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syndrome — The aggregate of symptoms and signs associated with any morbid process, and constituting together the picture of the disease. SEE ALSO: disease. [G. s., a running together, tumultuous concourse; (in med.) a concurrence of symptoms, fr. syn,… … Medical dictionary
Curtis — Arthur H., U.S. gynecologist, 1881–1955. See Fitz Hugh and C. syndrome … Medical dictionary
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Perihepatitis — Klassifikation nach ICD 10 K67* Krankheiten des Peritoneums bei anderenorts klassifizierten Infektionskrankheiten … Deutsch Wikipedia
Projet:Médecine/Index — Articles 0 9 1,2 dibromo 3 chloropropane · 112 (numéro d urgence européen) · 1935 en santé et médecine · 1941 en santé et médecine · 1er régiment médical · 2 iodothyronine déiodinase · 2,4,6 trichlorophénol · 2005 en santé et médecine · 2006 en… … Wikipédia en Français