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Frederik De Clerck - One of the best experts on this subject based on the ideXlab platform.
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fitz hugh curtis syndrome associated with tuberculous salpingitis and peritonitis a case presentation and review of literature
BMC Gastroenterology, 2018Co-Authors: Laura Coremans, Frederik De ClerckAbstract: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.
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Fitz-Hugh-Curtis syndrome associated with tuberculous salpingitis and peritonitis: a case presentation and review of literature
BMC, 2018Co-Authors: Laura Coremans, Frederik De ClerckAbstract: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
Laura Coremans - One of the best experts on this subject based on the ideXlab platform.
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fitz hugh curtis syndrome associated with tuberculous salpingitis and peritonitis a case presentation and review of literature
BMC Gastroenterology, 2018Co-Authors: Laura Coremans, Frederik De ClerckAbstract: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.
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Fitz-Hugh-Curtis syndrome associated with tuberculous salpingitis and peritonitis: a case presentation and review of literature
BMC, 2018Co-Authors: Laura Coremans, Frederik De ClerckAbstract: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
Andrew J Fisher - One of the best experts on this subject based on the ideXlab platform.
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fitz hugh curtis syndrome multidetector ct findings of transient hepatic attenuation difference and gallbladder wall thickening
American Journal of Roentgenology, 2003Co-Authors: Perry J Pickhardt, Matthew J Fleishman, Andrew J FisherAbstract: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.
Perry J Pickhardt - One of the best experts on this subject based on the ideXlab platform.
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fitz hugh curtis syndrome multidetector ct findings of transient hepatic attenuation difference and gallbladder wall thickening
American Journal of Roentgenology, 2003Co-Authors: Perry J Pickhardt, Matthew J Fleishman, Andrew J FisherAbstract: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.
Andrea Donadini - One of the best experts on this subject based on the ideXlab platform.
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chronic intermittent abdominal pain in young woman with intestinal malrotation fitz hugh curtis syndrome and appendiceal neuroendocrine tumor a rare case report and literature review
BMC Women's Health, 2016Co-Authors: Alessia Cusimano, Ahmed Mohammed Alaaeldien Beniamin Abdelghany, Andrea DonadiniAbstract:There are a lot of different causes of abdominal pain; in this case, a young woman suffers from three diseases with similar symptoms. Adult intestinal mal-rotation is a rare condition of deviation from the normal 270° counter clockwise rotation of the midgut resulting in, not only mal-position of the small intestine, but also mal-fixation of the mesentery. Fitz-Hugh-Curtis syndrome is a rare complication of pelvic inflammatory disease; it involves liver capsule inflammation associated with genital tract infection, which is usually caused by Neisseria gonorrhoea and Chlamydia trachomatis. Neuroendocrine tumors are enterochromaffin cell neoplasms that arise from cells of the endocrine (hormonal) and nervous systems; the appendicular one is the most common primary malignant lesion of these tumors, it’s incidence is about 0.3 – 0.9 % of appendectomies done. Just for knowledge, this is the first described case of concomitant presence of all these diseases with clinical symptoms attributable to each one. 40-years-old woman suffers from acute abdominal pain, predominantly on the right quadrants, without abdominal distension, no guarding nor rigidity and normal intestinal peristalsis. She has a long history of abdominal intermittent pain, with cramps every 30–40 min, resolving spontaneously. She was diagnosed as intestinal mal-rotation through computed tomography scan which has evidenced a mobilized intra - peritoneal duodenum with cecum/ascending colon predominately lying on the left side and the small intestine almost entirely lying on the right side of abdomen, without evidence of effusion, edema or signs of intestinal ischemia or infarction. Exploratory laparoscopy demonstrated an inflammatory process in the hepatic-renal space, with bloody adhesions above the liver capsule; this is additional to the typical pelvic inflammatory disease signs (Fitz-Hugh-Curtis syndrome). Appendectomy was performed with histological analysis resulting in appendicular neuroendocrine tumor. Although the patient has an intestinal mal-rotation which could explain the abdominal painful symptoms, it is not possible to exclude other concomitant causes, such as Perihepatitis on pelvic inflammatory disease or neuroendocrine tumors. Even if all these diseases are rarely seen in daily clinical practice, they should be considered in the differential diagnosis of chronic intermittent abdominal pain in a young woman.