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Fitz-Hugh–Curtis syndrome

机译：费兹-休-柯蒂斯综合征

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摘要

Fitz-Hugh–Curtis syndrome is characterized by perihepatic inflammation appearing with pelvic inflammatory disease (PID), mostly in women of childbearing age. Acute pain and tenderness in the right upper abdomen is the most common symptom that makes women visit the emergency rooms. It can also emerge with fever, nausea, vomiting, and, in fewer cases, pain in the left upper abdomen. It seems that the pathogens that are mostly responsible for this situation is Chlamydia trachomatis and Neisseria gonorrhoeae. Because of its characteristics, differential diagnosis for this syndrome is a constant, as it mimics many known diseases, such as cholelithiasis, cholecystitis, and pulmonary embolism. The development of CT scanning provided diagnosticians with a very useful tool in the process of recognizing and analyzing the syndrome. Nevertheless, the only secure diagnostic method is the laparoscopic evaluation of the abdomen and the spotting of the unique “violin-string” adhesions between the liver and the abdominal wall or the diaphragm. Though it is a difficult diagnosis, the syndrome and, therefore, the PID that caused its outburst are usually easily treated with courses of antibiotics, as monotherapy or combined, with satisfactory results.
机译：Fitz-Hugh-Curtis综合征的特征是出现肝周炎并伴有盆腔炎（PID），主要发生在育龄妇女中。右上腹部的急性疼痛和压痛是使妇女前往急诊室的最常见症状。它也可能伴有发烧，恶心，呕吐，在较少的情况下，左上腹部也出现疼痛。造成这种情况的主要原因似乎是沙眼衣原体和淋病奈瑟菌。由于其特征，该综合征的鉴别诊断是一个常数，因为它模仿了许多已知的疾病，例如胆石症，胆囊炎和肺栓塞。 CT扫描的发展为诊断人员在识别和分析综合征的过程中提供了非常有用的工具。尽管如此，唯一安全的诊断方法是腹腔镜评估腹部，并在肝脏与腹壁或the肌之间发现独特的“小提琴弦”粘连。尽管诊断很困难，但是通常可以很容易地用抗生素疗程（单药治疗或联合治疗）对导致其爆发的综合征和PID进行满意的治疗。

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