복강경검사전 골반전산화 단층촬영으로 진단된 Fitz-Hugh-Curtis 증후군 1예
A case of Fitz-Hugh-Curtis syndrome diagnosed by pelvic CT imaging prior to diagnostic laparoscopy
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초록
=골반내 염증과 동반되어 간실질을 포함하지 않고 간피막의 염증으로 발생하는 간주위염을 Fitz-Hugh-Curtis syndrome 이라고 정의한다. 간피막이 늘어나면서 우측 상복부에 통증을 유발하고 복부전산화단층촬영에서 간 피막의 조영증강 소견이 있고 질분비물과 Chlamydia trachomatis 항체의 증가 소견 보인다. 피막염증의 말기 현상으로 간피막과 복벽 전면 사이에 바이올린 줄 같은 유착이 생긴다. 본원에서 항생제와 복강경하 유착박리술 시행한 후 치료된 Fitz-Hugh-Curtis syndrome 1예를 간단한 문헌 고찰과 함께 이를 보고하는 바이다.
Abstract
Fitz-Hugh-Curtis syndrome is an extrapelvic manifestation of PID. It is associated with right upper quadrant pain that likely results from the inflammation of liver capsule and diaphragm. The liver capsule becomes involved with inflammatory exudates that later forms violin string adhesion between two liver capsule and adjacent diaphragm or peritoneum. Previously, Neisseria gonorrhea was thought to be the only etiological agent, but recent studies have reported cases of Fitz-Hugh-Curtis syndrome due to Chlamydia trachomatis infection. 15 to 30 percents of women with PID develop symptom of Fitz-Hugh-Curtis syndrome. It is often mistakenly diagnosed as either pneumonia or acute cholecystitis. Laparoscopy may be the definitive method in diagnosis of Fitz-Hugh-Curtis syndrome. However, we have experienced one cases of Fitz-Hugh-Curtis syndrome, which was diagnosed preoperative by pelvic CT imaging and report with the brief review of the literatures.
참고문헌 (10)
- Lopez-Zeno JA, "Changing perspectives after half a century", pp.567~82 (1985)
- Kimball MW, "Gonococcal perihepatitis in a male and the Fitz-Hugh-Curtis syndrome", pp.1082~4
- 이승찬, "급성기 Fitz-Hugh-Curtis 증후군 2예", 대한소화기학회지, 45(2), pp.137~142 (2005), 대한소화기학회
- Counselnman F, "Unusual presentation of Fitz-Hugh Curtis syndrome", 12, pp.167~70 (1994)
- Paavonen J,, "Association of infection with chlamydia trachomatis with Fitz-Hugh-Curtis syndrome Obstet Gynecology", 65, pp.288~91
- Romo LV, "Fitz-Hugh-Curtis syndrome and pelvic inflammatory disease with an unusual CT presentation", 5, pp.832~3
- Perlman PE, "Fitz-Hugh-Curtis syndrome", 36, pp.162~4 (1987)
- 윤선웅, "Fitz-Hugh-Curtis증후군과 동반된 자궁부속기 방선균증 1예", Obstetrics & Gynecology Science, 44(6), pp.1196~1200 (2001), 대한산부인과학회
- 김승준, "자궁외 임신과 동반된 Fitz-Hugh- Curtis syndrome 2예", 42, pp.2391~4 (1999)
- Owens S, "Laparoscopic treatment of painful perihepatic adhesion in Fitz-Hugh-Curtis syndrome", 78, pp.542~3 (1991)