Buscar en
Medicina Clínica (English Edition)
Toda la web
Inicio Medicina Clínica (English Edition) Fitz-Hugh-Curtis syndrome: A cause of right upper quadrant abdominal pain
Journal Information
Vol. 154. Issue 11.
Pages 447-452 (June 2020)
Share
Share
Download PDF
More article options
ePub
Visits
0
Vol. 154. Issue 11.
Pages 447-452 (June 2020)
Review
DOI: 10.1016/j.medcle.2020.01.003
Fitz-Hugh-Curtis syndrome: A cause of right upper quadrant abdominal pain
Síndrome de Fitz-Hugh-Curtis: una causa de dolor en hipocondrio derecho
Visits
...
Raquel Sánchez-Oro
Corresponding author
raquel_sanchez_oro@hotmail.com

Corresponding author.
, Ana Margot Jara-Díaz, Gloria Martínez-Sanz
Servicio de Radiodiagnóstico, Hospital Obispo Polanco, Teruel, Spain
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (5)
Show moreShow less
Abstract

Fitz-Hugh-Curtis syndrome (FHCS), also known as perihepatitis, is a rare complication of pelvic inflammatory disease. It has a different incidence depending on which diagnostic criteria are used. FHCS consists of inflammation of the hepatic capsule and surrounding peritoneum, without involvement of the hepatic parenchyma, due to intraperitoneal dissemination from a pelvic infection. Clinical manifestations are nonspecific and include a sudden onset of pain and discomfort in the right hypochondrium, commonly confused with other hepatobiliary, gastrointestinal or renal diseases. In recent years, multidetector computed tomography has proven to be a very useful and non-invasive tool, which offers diagnostic confidence within the appropriate clinical setting. Radiological diagnosis of FHCS can avoid unnecessary surgical procedures.

Keywords:
Fitz-Hugh-Curtis syndrome
Perihepatitis
Pelvic inflammatory disease
Resumen

El síndrome de Fitz-Hugh-Curtis, también conocido como perihepatitis, es una complicación poco frecuente de la enfermedad pélvica inflamatoria con una incidencia variable en función de los criterios diagnósticos utilizados. Este síndrome consiste en una inflamación de la cápsula hepática y el peritoneo adyacente sin compromiso del parénquima hepático como resultado de una infección directa por una diseminación intraperitoneal desde una infección pélvica. Sus manifestaciones clínicas son inespecíficas e incluyen dolor y molestias en el hipocondrio derecho de rápida evolución, confundiéndose con frecuencia con otras enfermedades hepatobiliares, del tubo digestivo o renales. En los últimos años la tomografía computarizada multidetector se ha revelado como un procedimiento muy útil y no invasivo, ofreciendo imágenes altamente indicativas de diagnóstico, en el contexto clínico adecuado. Debe considerarse la posibilidad de este síndrome, ya que un error diagnóstico puede ocasionar intervenciones quirúrgicas innecesarias.

Palabras clave:
Síndrome de Fitz-Hugh-Curtis
Perihepatitis
Enfermedad pélvica inflamatoria

Article

These are the options to access the full texts of the publication Medicina Clínica (English Edition)
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Medicina Clínica (English Edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
E-mail
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos