Korean J Gastroenterol.  2010 Mar;55(3):203-207. 10.4166/kjg.2010.55.3.203.

A Case of Fitz-Hugh-Curtis Syndrome in a Male

• Baek HC
• Bae YS
• Lee KJ
• Kim DH
• Bae SH
• Kim DW
• Yoon JB
• Song CS

• KMID: 1775904
• DOI: http://doi.org/10.4166/kjg.2010.55.3.203

Abstract

Fitz-Hugh-Curtis syndrome has been described as focal perihepatitis accompanying pelvic inflammatory disease caused by Neisseria gonorrhea and Chlamydia trachomatis. The highest incidence occurs in young, sexually active females. However, the syndrome has been reported to occur infrequently in males, according to the foreign literature. The predominant symptoms are right upper quadrant pain and tenderness, and pleuritic right sided chest pain. The clinical presentation is similar in men and women. In women, the spread of infection to liver capsule is thought to occur directly from infected fallopian tube via the right paracolic gutter. In men, hematogenous and lymphatic spread is thought to be postulated. Recently, we experienced a case of Fitz-Hugh-Curtis syndrome occurred in a man. As far as we know, it is the first report in Korea, and we report a case with a review of the literature.

Keyword

Fitz-Hugh-Curtis syndrome; Perihepatitis; Man

MeSH Terms

Adult
Anti-Bacterial Agents/therapeutic use
Humans
Male
Mycoplasma Infections/*diagnosis/drug therapy
*Mycoplasma genitalium
Ofloxacin/therapeutic use
Pelvic Infection/*diagnosis/drug therapy
Tomography, X-Ray Computed

Figure

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  Fig. 1. Abdominal CT finding. On arterial phase image, linear capsular enhancement (white arrow) was noted at the arterial surface of the medial segment, and above it, between the liver and parietal peritoneum, fluid collection was seen.

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  Fig. 2. Abdominal CT finding. On delayed phase image, linear capsular enhancement (arrow head) was still noted. But, it was less prominent than arterial phase.

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  Fig. 3. Abdominal CT finding. Six weeks after treatment, the enhancement of liver capsule over the right lobe disappeared completely.

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