Síndrome De Fitz-Hugh-Curtis Como Hallazgo Durante Cirugía Ginecológica

Abstract

El síndrome de Fitz-Hugh-Curtis es una perihepatitis producida por una peritonitis secundaria al ascenso de bacterias, como resultado de una enfermedad infl amatoria pélvica. En la etapa crónica se pueden observar adherencias entre la pared abdominal y la superfi cie hepática, caracterizadas por la semejanza a "cuerdas de violín". Esta imagen es considerada criterio diagnóstico. Se presenta un caso de hallazgo de síndrome de Fitz-Hugh-Curtis, pesquisado durante la inspección rutinaria de la cavidad abdominopélvica, al fi nalizar una histerectomía laparoscópica. PALABRAS CLAVE: Síndrome de Fitz-Hugh-Curtis, perihepatitis crónica, adherencias en cuerda de violín SUMMARY The Fitz-Hugh-Curtis Syndrome is a perihepatitis secondary to peritonitis caused by ascending bacteria from a pelvic infl ammatory disease. During the chronic phase may be observe adherences between the abdominal wall and the liver surface characterized by a "violin string" similarity. This image is considered criterion for the diagnosis. A case of incidental Fitz-Hugh-Curtis syndrome observed during a routinely abdominopelvic cavity inspection at the end of a laparoscopic hysterectomy is presented.

Fitz Hugh Curtis syndrome as a cause of acute abdomen: case report

“…10 Among the complications, cases of intestinal obstruction or hemoperitoneum due to rupture of adhesions have been described. 11 Although gynecological symptoms are usually absent, it was rare that it did not manifest in some way before the gynecological examination, both before speculoscopy (cervicitis, discharge), or before the bimanual examination (pain on uterine palpation, mobilization of the cervix, adnexal, pelviperitonitis). 12 Within the laboratory tests, they reflected the existence of inflammatory phenomena, there was leukocytosis with neutrophilia as well as elevated CRP, aminotransferases are usually normal or slightly elevated, which helped us differentiate perihepatitis (SFHC) from hepatitis.…”

Fitz-Hugh-Curtis syndrome: abdominal pain in women of 26 years old

“…While in the chronic phase, by laparoscopy or laparotomy, adhesions of the liver capsule to the abdominal wall are observed, typically described as "violin string", that is the diagnostic criteria. It occurs in 12-14% of cases of PID (3,7). The common etiologic agent isolated was N. gonorrhoeae, however since 1985, LopezZeno et al (2), showed that C. trachomatis was the most common germ.…”

Fisiopatología, Diagnóstico, Tratamiento y Complicaciones del Síndrome de Fitz-Hugh-Curtis

“…La incidencia es incierta, en el estudio más grande con 3.564 laparoscopías, se diagnosticó este síndrome en 14,8% de las pacientes con infertilidad tubaria; 6,7% en embarazos ectópicos y en 1,4% por otras indicaciones ginecológicas (Hong et al, 2010). Sin embargo, aun existen pocas publicaciones con un reducido número de caso sobre esta patología (Ricci et al, 2009).…”