JaLCDOI 10.18926/AMO/30742
FullText URL fulltext.pdf
Author Tajiri, Takuma| Tate, Genshu| Iwaku, Takeshi| Takeyama, Nobuyuki| Fusama, Shigeyoshi| Sato, Shuichi| Kunimura, Toshiaki| Mitsuya, Toshiyuki| Morohoshi, Toshio|
Abstract Right pleural effusion was diagnosed in a 36-year-old woman with right upper quadrant pain and fever. Enhanced pelvic computed tomography performed because of irregular genital bleeding revealed the pelvic inflammatory disease. Upon further questioning, the patient confirmed that she had recently undergone therapy for Chlamydia trachomatis infection. Therefore she was given an injection of tetracycline because we suspected Fitz-Hugh-Curtis syndrome (FHCS), a pelvic inflammatory disease characterized by perihepatitis associated with chlamydial infection. A remarkable clinical response to antibiotics was noted. The right upper quadrant pain was due to perihepatitis, and the final diagnosis was FHCS. Right pleural effusion may be caused by inflammation of the diaphragm associated with perihepatitis. Once chlamydial infection reaches the subphrenic liver, conditions in the closed space between the liver and diaphragm due to inflammatory adhesion may be conductive to chlamydial proliferation. The possibility of FHCS should be considered in patients and carefully distinguished from other abdominal diseases.
Keywords perihepatitis right pleural eff usion Fitz-Hugh-Curtis syndrome chlamydial infection pelvic inflammatory disease
Amo Type Article
Published Date 2006-10
Publication Title Acta Medica Okayama
Volume volume60
Issue issue5
Publisher Okayama University Medical School
Start Page 289
End Page 294
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language 英語
File Version publisher
Refereed True
PubMed ID 17072375
Web of Sience KeyUT 000241509000005