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Frederik De Clerck - One of the best experts on this subject based on the ideXlab platform.

  • fitz hugh curtis Syndrome associated with tuberculous salpingitis and peritonitis a case presentation and review of literature
    BMC Gastroenterology, 2018
    Co-Authors: Laura Coremans, Frederik De Clerck
    Abstract:

    Fitz-Hugh-Curtis Syndrome or acute perihepatitis is considered a rare complication of pelvic inflammatory disease, mostly associated with chlamydial or gonococcal salpingitis. Peritoneal tuberculosis is a rare site of extra-pulmonary infection caused by Mycobacterium tuberculosis. Infection usually occurs after reactivation of latent tuberculous foci in the peritoneum and more seldom after contiguous spread from tuberculous salpingitis. We describe a case of a 21-year old female of Somalian origin diagnosed with Fitz-Hugh Curtis Syndrome associated with tuberculous salpingitis and peritonitis, presenting with new onset ascites. Acid fast stained smear and polymerase chain reaction for Mycobacterium tuberculosis on ascitic fluid, endocervical culture and tuberculin skin test were all negative. Eventually, the diagnosis was made laparoscopically, showing multiple peritoneal white nodules and perihepatic “violin string” fibrinous strands. To our knowledge, this is the first case where Fitz-Hugh-Curtis Syndrome is associated with both peritoneal and genital tuberculosis and where ascites was the primary clinical finding. Female genital tuberculosis has only rarely been associated with Fitz-Hugh-Curtis Syndrome and all cases presented with chronic abdominal pain and/or infertility. Ascites and peritoneal involvement was not present in any case. Moreover, most patients with Fitz-Hugh-Curtis Syndrome show no evidence of generalized intra-abdominal infection and only occasionally have concomitant ascites.

  • Fitz-Hugh-Curtis Syndrome associated with tuberculous salpingitis and peritonitis: a case presentation and review of literature
    BMC, 2018
    Co-Authors: Laura Coremans, Frederik De Clerck
    Abstract:

    Abstract Background Fitz-Hugh-Curtis Syndrome or acute perihepatitis is considered a rare complication of pelvic inflammatory disease, mostly associated with chlamydial or gonococcal salpingitis. Peritoneal tuberculosis is a rare site of extra-pulmonary infection caused by Mycobacterium tuberculosis. Infection usually occurs after reactivation of latent tuberculous foci in the peritoneum and more seldom after contiguous spread from tuberculous salpingitis. Case presentation We describe a case of a 21-year old female of Somalian origin diagnosed with Fitz-Hugh Curtis Syndrome associated with tuberculous salpingitis and peritonitis, presenting with new onset ascites. Acid fast stained smear and polymerase chain reaction for Mycobacterium tuberculosis on ascitic fluid, endocervical culture and tuberculin skin test were all negative. Eventually, the diagnosis was made laparoscopically, showing multiple peritoneal white nodules and perihepatic “violin string” fibrinous strands. Conclusions To our knowledge, this is the first case where Fitz-Hugh-Curtis Syndrome is associated with both peritoneal and genital tuberculosis and where ascites was the primary clinical finding. Female genital tuberculosis has only rarely been associated with Fitz-Hugh-Curtis Syndrome and all cases presented with chronic abdominal pain and/or infertility. Ascites and peritoneal involvement was not present in any case. Moreover, most patients with Fitz-Hugh-Curtis Syndrome show no evidence of generalized intra-abdominal infection and only occasionally have concomitant ascites

Bernard A Birnbaum - One of the best experts on this subject based on the ideXlab platform.

  • spectrum of ct findings in acute pyogenic pelvic inflammatory disease
    Radiographics, 2002
    Co-Authors: Joseph W Sam, Jill E Jacobs, Bernard A Birnbaum
    Abstract:

    Pelvic inflammatory disease (PID) is a common medical problem, affecting nearly 1 million women each year. Although the radiology literature is replete with discussions of the sonographic manifestations of PID, little has been published regarding the computed tomographic (CT) appearances of this entity. CT findings in early PID include obscuration of the normal pelvic floor fascial planes, thickening of the uterosacral ligaments, cervicitis, oophoritis, salpingitis, and accumulation of simple fluid in the endometrial canal, fallopian tubes, and pelvis. As the disease progresses, this simple fluid may become complex and the inflammatory changes may progress to frank tubo-ovarian or pelvic abscesses. Reactive inflammation of adjacent structures is common and can manifest as small or large bowel ileus or obstruction, hydroureter and hydronephrosis, right upper quadrant inflammation (Fitz-Hugh-Curtis Syndrome), or peritonitis. Familiarity with the CT appearances of these manifestations is important for timely diagnosis and treatment of PID and its complications.

Laura Coremans - One of the best experts on this subject based on the ideXlab platform.

  • fitz hugh curtis Syndrome associated with tuberculous salpingitis and peritonitis a case presentation and review of literature
    BMC Gastroenterology, 2018
    Co-Authors: Laura Coremans, Frederik De Clerck
    Abstract:

    Fitz-Hugh-Curtis Syndrome or acute perihepatitis is considered a rare complication of pelvic inflammatory disease, mostly associated with chlamydial or gonococcal salpingitis. Peritoneal tuberculosis is a rare site of extra-pulmonary infection caused by Mycobacterium tuberculosis. Infection usually occurs after reactivation of latent tuberculous foci in the peritoneum and more seldom after contiguous spread from tuberculous salpingitis. We describe a case of a 21-year old female of Somalian origin diagnosed with Fitz-Hugh Curtis Syndrome associated with tuberculous salpingitis and peritonitis, presenting with new onset ascites. Acid fast stained smear and polymerase chain reaction for Mycobacterium tuberculosis on ascitic fluid, endocervical culture and tuberculin skin test were all negative. Eventually, the diagnosis was made laparoscopically, showing multiple peritoneal white nodules and perihepatic “violin string” fibrinous strands. To our knowledge, this is the first case where Fitz-Hugh-Curtis Syndrome is associated with both peritoneal and genital tuberculosis and where ascites was the primary clinical finding. Female genital tuberculosis has only rarely been associated with Fitz-Hugh-Curtis Syndrome and all cases presented with chronic abdominal pain and/or infertility. Ascites and peritoneal involvement was not present in any case. Moreover, most patients with Fitz-Hugh-Curtis Syndrome show no evidence of generalized intra-abdominal infection and only occasionally have concomitant ascites.

  • Fitz-Hugh-Curtis Syndrome associated with tuberculous salpingitis and peritonitis: a case presentation and review of literature
    BMC, 2018
    Co-Authors: Laura Coremans, Frederik De Clerck
    Abstract:

    Abstract Background Fitz-Hugh-Curtis Syndrome or acute perihepatitis is considered a rare complication of pelvic inflammatory disease, mostly associated with chlamydial or gonococcal salpingitis. Peritoneal tuberculosis is a rare site of extra-pulmonary infection caused by Mycobacterium tuberculosis. Infection usually occurs after reactivation of latent tuberculous foci in the peritoneum and more seldom after contiguous spread from tuberculous salpingitis. Case presentation We describe a case of a 21-year old female of Somalian origin diagnosed with Fitz-Hugh Curtis Syndrome associated with tuberculous salpingitis and peritonitis, presenting with new onset ascites. Acid fast stained smear and polymerase chain reaction for Mycobacterium tuberculosis on ascitic fluid, endocervical culture and tuberculin skin test were all negative. Eventually, the diagnosis was made laparoscopically, showing multiple peritoneal white nodules and perihepatic “violin string” fibrinous strands. Conclusions To our knowledge, this is the first case where Fitz-Hugh-Curtis Syndrome is associated with both peritoneal and genital tuberculosis and where ascites was the primary clinical finding. Female genital tuberculosis has only rarely been associated with Fitz-Hugh-Curtis Syndrome and all cases presented with chronic abdominal pain and/or infertility. Ascites and peritoneal involvement was not present in any case. Moreover, most patients with Fitz-Hugh-Curtis Syndrome show no evidence of generalized intra-abdominal infection and only occasionally have concomitant ascites

Joseph W Sam - One of the best experts on this subject based on the ideXlab platform.

  • spectrum of ct findings in acute pyogenic pelvic inflammatory disease
    Radiographics, 2002
    Co-Authors: Joseph W Sam, Jill E Jacobs, Bernard A Birnbaum
    Abstract:

    Pelvic inflammatory disease (PID) is a common medical problem, affecting nearly 1 million women each year. Although the radiology literature is replete with discussions of the sonographic manifestations of PID, little has been published regarding the computed tomographic (CT) appearances of this entity. CT findings in early PID include obscuration of the normal pelvic floor fascial planes, thickening of the uterosacral ligaments, cervicitis, oophoritis, salpingitis, and accumulation of simple fluid in the endometrial canal, fallopian tubes, and pelvis. As the disease progresses, this simple fluid may become complex and the inflammatory changes may progress to frank tubo-ovarian or pelvic abscesses. Reactive inflammation of adjacent structures is common and can manifest as small or large bowel ileus or obstruction, hydroureter and hydronephrosis, right upper quadrant inflammation (Fitz-Hugh-Curtis Syndrome), or peritonitis. Familiarity with the CT appearances of these manifestations is important for timely diagnosis and treatment of PID and its complications.

Andrew J Fisher - One of the best experts on this subject based on the ideXlab platform.

  • fitz hugh curtis Syndrome multidetector ct findings of transient hepatic attenuation difference and gallbladder wall thickening
    American Journal of Roentgenology, 2003
    Co-Authors: Perry J Pickhardt, Matthew J Fleishman, Andrew J Fisher
    Abstract:

    itz-Hugh‐Curtis Syndrome is characterized by right-sided abdominal pain and “perihepatitis” associated with pelvic inflammatory disease. Crosssectional imaging findings of localized right upper quadrant peritonitis associated with salpingitis should suggest the diagnosis. We report a case of Fitz-Hugh‐Curtis Syndrome in which multidetector CT showed a reversible dynamic perfusion abnormality in the right hepatic lobe, in addition to pericholecystic inflammatory changes. To our knowledge, gallbladder wall thickening on either CT or sonography has not been previously reported in this Syndrome. We are also unaware of any previous reports describing intraparenchymal liver findings on CT, which were likely due to partial hepatic venous outflow obstruction from perihepatic and capsular inflammation.