Korean J Obstet Gynecol.  2008 Jun;51(6):659-664.

Comparative analysis of pelvic inflammatory disease with and without Fitz-Hugh-Curtis syndrome

• Yoon DK
• Seo K
• Lee MB
• Lee KE
• Jeon YE

Abstract

OBJECTIVE
This study was performed to compare the characteristics, hematologic findings, microbiologic results, and radiologic findings of the patients with Fitz-Hugh-Curtis Syndrome (FHCS) to those without perihepatitis.
METHODS
From January 2003 to June 2006, 120 patients of PID with FHCS and 212 patients of PID only were included in this study. Patients' medical records including cervical cultures, chlamydia polymerase chain reaction (PCR), abdomen and pelvic computed tomography (CT), and transvaginal sonography were analysed retrospectively.
RESULTS
PID with FHCS group had significantly higher incidence of right upper quadrant abdominal pain (p<0.01) and significantly lower incidence of lower abdominal pain than PID only group (p<0.01). PID with FHCS group was associated with significantly higher erythrocyte sedimentation rate (ESR) in comparison to that of PID only group. In addition, significantly higher incidence of chlamydia infection and intrauterine device user were noted in PID with FHCS group.
CONCLUSIONS
In PID patients with right upper quadrant abdominal pain, accompanied by elevated ESR, suspicion of chlamydia infection, and intrauterine device in situ, physicians should actively perform procedures including abdomen and pelvic CT and laparoscopic surgery for early diagnosis of FHCS.

Keyword

Pelvic inflammatory disease; Fitz-Hugh-Curtis syndrome; Chlamydia

MeSH Terms

Abdomen
Abdominal Pain
Blood Sedimentation
Chlamydia
Chlamydia Infections
Early Diagnosis
Female
Hepatitis
Humans
Incidence
Intrauterine Devices
Laparoscopy
Medical Records
Pelvic Inflammatory Disease
Peritonitis
Polymerase Chain Reaction
Chlamydia Infections
Hepatitis
Pelvic Inflammatory Disease
Peritonitis