CASE 351:A CASE of FITZ-HUGH-CURTIS SYNDROME , Dr PHAN THANH HAI - Dr VO NGUYEN THANH NHAN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Woman 24 yo post partum,  pain at right pelvis and fever. But one day after, pain  at  liver region, palpation is very painful  at Murphy point liked  cholecystitis.

Ultrasound of abdomen  cannot  detect   cause of pain, no stone in gallbladder , no thickening of the wall of gallbladder, no free air or free fluid at  Morrison space (see US pictures 1,  2).

Ultrasound at pelvis  revealed  thickening  of pelvic  peritoneum and hypervacular  at right  uterine tube ( US 3).

MSCT of  abdomen without  CE cannot detect  abnormal ( CT 1);  with CE  injection, in delay  phase  radiologist  reported  abnormal perihepatic contrast  enhanced.

Blood tests :  high CRP of 104.89ng/ml, WBC normal.

Suggestion for this case : perihepatitis and PID [pelvic inflammatory disease] means   FITZ-HUGH-CURTIS SYNDROME.

THIS PATIENT HAD BEEN TREATED BY ANTIBIOTICS,  CLINICAL STATUS RESPONSED VERY WELL, NO MORE PAIN AND  NO FEVER, AND  DISCHARGED  HOSPITAL AFTER  3 DAYS.

REFERENCE: FHC SYNDROME.