Lozano DM, Jiménez HJ, Hernández GR

Language: Spanish
References: 0
Page: 23-27
PDF size: 209.91 Kb.

ABSTRACT

lntroduction. The syndrome Fitz-Hugh-Curtis(FHC) refers to the presence of adhesions in perihepatitis with violin strings between the liver and the anterior wall of the abdomen associated with salpingitis by Gonococcus or Chlamydia. lt manifests itself in pain and hypersensitivity in the upper right quadrant. That pain, which is exacerbated by breathing, coughing and movement, is caused by irritation of Glisson's capsule of the liver. The diagnosis of pelvic inflammatory disease is often a challenge in even the most experienced hands. Laparoscopy while considered the gold standard for diagnosis showed only 50% sensitivity and specificity of 85% when it was compared with microbiopsy of salpingo. Objective. To determine the incidence of Fitz-Hugh-Curtis syndrome in patients undergoing laparoscopic in the Service of Gynecology. Material and methods. Retrospective study, observational and descriptive. During the period from 2002 to 2007 in the Service of Gynecology Hospital Juarez of Mexico, where analyzed 192 cases of laparoscopy for uterine disease, primary and secondary infertility. Results. The average age of patients was 26 to 35 years. The presence of the Fitz-Hugh-Curtis syndrome was documented under direct visualization of adhesions perihepatic in 14 patients (7.2%). The 33.8% ofpatients had primary infertility and the rest secondary infertility. Of the 192 patients 68% diagnostic laparoscopy was reported normal, while in 11% was documented adhesive severe syndrome. In relation to patients with Fitz-Hugh-Curtis syndrome 43% presented adhesive severe syndrome. Conclusions. The Fitz-Hugh-Curtis syndrome is more common in young women from 1 5 to 30% according to world literature. Usually it is a common finding after surgery with or without connection with the original disease.