Fitz-Hugh-Curtis Adhesions...or..."violin string" adhesions

From: Helen Dynda (olddad66@runestone.net)
Sat Sep 16 02:24:11 2000


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1.) Pelvic Adhesions from Pelvic Inflammatory Disease -- Fitz-Hugh-Curtis syndrome...with a photo

http://www.home.mpinet.net/dahmd/fitzhughcurtis.html

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2.) Photos of Fitz-Hugh-Curtis adhesions -- at the Women's Surgery Group website.

http://www.womenssurgerygroup.com/conditions/Adhesions/photos.asp

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3.) Fitz-Hugh-Curtis syndrome (acute gonococcal perihepatitis) consists of acute onset of upper right-quadrant abdominal pain and tenderness aggravated by breathing, coughing or movement, and referred to the right shoulder accompanying an attack of gonococcal PID. Laparoscopy, occasionally needed to exclude other acute abdominal conditions, show typical "violin string" adhesions.

http://www.hkmj.org.hk/skin/gonorrho.htm

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4.) Re: FITZ-HUGH-CURTIS SYNDROME...from the Women's Health Forum.....On January 18, 2000, Harvey S. Marchbein, M.D. said: "The classic definition of FHC syndrome is perihepatic adhesions secondary to PID. Adhesions near and on the liver, frequently are described as "violin string" adhesions from an extension of pelvic inflammatory disease up the right side of the abdomen to the area around the liver. The original description of FHC syndrome from PID was related to gonorrhea but we now know that chlamydia was probably the cause in most patients. It is sometimes spelled FitzHugh-Curtis."

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5.) Re: FITZ-HUGH-CURTIS SYNDROME...from the Women's Health Forum.....On January 19, 2000, D. Ashley Hill, M.D. said: "Fitz-Hugh-Curtis syndrome is named after two doctors, Fitz-Hugh and Curtis. The "syndrome" designation is kind of a misnomer, because, in my experience, the majority of patients who have violin-string adhesions of the liver have no symptoms at all. Some, however, get pain when taking a deep breath, and I have had a couple of patients get mildly elevated liver function tests (like the SGOT you mentioned). If asymptomatic the adhesions do not need treatment. However, they will not go away on their own.

"Possible causes include infection like ruptured appendix, gonorrhea, chlamydia, pelvic inflammatory disease from any source. About 75% of PID is from either gonorrhea or chlamydia, but 25% are from endogenous(from your body) bacteria. It sure sounds like somewhere in your past you developed a rip-roaring pelvic infection that damaged your tube(s) and caused liver adhesions. You will probably never know when that was, since it could have been your own bacteria, or chlamydia that was accidentally treated with antibiotics for some other reason (like a cold or sinusitis). Regardless, if the adhesions are not bothering you, I would be reluctant to suggest any intervention."

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6.) Fitz-Hugh-Curtis Syndrome - iBio Self-Assessment for Fitz-Hugh-Curtis Syndrome

http://www.ibionet.com/rarediseases/fitzhughcurtissyndrome.html

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7.) PELVIC INFLAMMATORY DISEASE

http://www.mc.vanderbilt.edu/peds/pidl/adolesc/pelvinf.htm

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8.) Fitz-Hugh-Curtis Syndrome - symptoms

http://www.md.huji.ac.il/gynecol/case3/c3q4w.htm

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9.) Perihepatitis ( Fitz-Hugh-Curtis Syndrome ) a.. 5-10 % of women with acute PID (more commonly chlamydial) will develop perihepatitis. The infection tracts up the paracolic gutter to involve the liver capsule forming fibrinous adhesions. Pleuritic RUQ pain and tenderness may occur with or after the onset of acute PID. Some degree of cervicitis or adnexal tenderness is also usually present. Highly elevated LFTs suggest another etiology since LFTs are nearly normal in FHC syndrome. b..

http://192.215.104.222/obgyn/cobra/cobra/TEXT/PROTOCOL/Acupain.htm#FHC


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