Fitz-Hugh-Curtis 증후군: 드물지 않은 질환
Fitz-Hugh-Curtis syndrome is not uncommon
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Fitz-Hugh-Curtis (FHC) 증후군은 골반내감염과 연관되어 발생하는 심한 우상복부 통증을 특징으로 하는 간주위염으로 국내의 골반내감염 환자의 증가에 따라 드물지 않게 발생하지만 급성 담낭염 등의 급성 복증과 감별이 어려울 수 있다. 저자들은 복통을 주소로 내원하여 FHC 증후군으로 진단된 8명의 환자를 경험하였다. 젊은 여성에서 우상복부 통증이 있을 경우 감별진단의 하나로 FHC 증후군을 고려하여야 하며, 나선식 전산화단층촬영이 진단에 유용하겠다.
Abstract
Fitz-Hugh-Curtis (FHC) syndrome is hepatitis characterized by severe right upper abdominal pain associated with pelvic inflammatory disease (PID), mimicking the symptoms of acute abdomen, such as in acute cholecystitis. FHC syndrome is becoming more common with the increasing incidence of PID in Korea. We treated eight patients with FHC syndrome, who visited our hospital with right upper quadrant abdominal pain. We emphasize the importance of spiral computed tomography (CT) in the diagnosis of right upper quadrant abdominal pain in sexually active young women.
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