Padrón AG, Martínez GDA

Language: Spanish
References: 16
Page: 110-111
PDF size: 69.60 Kb.

ABSTRACT

Objective: To present an unusual hard to diagnose case of a woman cared for at the Integral Hospital of Playa del Carmen, QR, México.
Setting: Second level health care hospital.
Design: Report of one case.
Description of the case: Woman, 56-year-old, who attended the emergency service due to abdominal pain. Diagnosis at admission was of acute abdomen. Laboratory tests at admission consisted of blood biometrics revealing: 10,200 leukocytes; general urine exam revealed hemoglobin (Hb++++); proteins (+); leukocytes, 7 x 8 per field; erythrocytes, 11 to 12 per field. With these data a diagnosis of painful abdominal syndrome and probable pyelonephritis was integrated. The radiological study revealed a small bowel loop dilated in the right iliac fossa and mesogastrium. The ultrasound revealed acute cholelithiasis. The patient was subjected to surgery finding multiple adherences of the epiploon, small and large bowel, compacted toward the perivascular bed; perihepatic filiform (violin string) adherences; abscess of the adherent mass with green-yellowish non-fetid pus; gallbladder covered by compact adherences. Lysis of adherences, simple cholecystectomy, and drainage of the abscess were performed. The patient is currently asymptomatic.
Conclusion: The Fitz-Hugh-Curtis syndrome is more frequently observed in the gynecologic-obstetric practice and is rarely seen by general surgeons; therefore, when faced with these findings, the possibility of integrating this diagnosis must be considered, especially in sexually active women.

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