CASE 351:A CASE of FITZ-HUGH-CURTIS SYNDROME , Dr PHAN THANH HẢI - Dr VÕ NGUYỄN THÀNH NHÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 24 year-old woman in  post partum, felt pain at her right pelvis and fever. But one day after, pain came at the liver region, and her was very painful while papation at Murphy point liked a case of cholecystitis.

Ultrasound of abdomen cannot detect any cause of the liver pain, no stone in gallbladder, no thickening of the wall of gallbladder, no free air or free fluid at  Morrison space (see US pictures 1,  2).

Ultrasound at pelvis revealed  thickening of  the pelvic peritoneum and hypervascular  at the right uterine tube ( US 3).

MSCT of  abdomen without  CE cannot detect abnormalities ( CT 1); but with CE  injection, in delay phase radiologist  reported  abnormal perihepatic area in contrast enhanced.

Blood tests :  high CRP of 104.89ng/ml, WBC normal.

Suggestion for this case : perihepatic inflammation and PID [pelvic inflammatory disease] that meant FITZ-HUGH-CURTIS SYNDROME.

THIS PATIENT HAD BEEN TREATED BY ANTIBIOTICS,  CLINICAL STATUS RESPONSED VERY WELL, NO MORE PAIN AND  NO FEVER, AND  DISCHARGED  HOSPITAL AFTER  3 DAYS.

REFERENCE: FHC SYNDROME.