Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Two adolescent cases of Fitz-Hugh-Curtis syndrome

청소년에서의 Fitz-Hugh-Curtis Syndrome 2례

  • Kim, Ji Hye (Department of Pediatrics, Hanyang University School of Medicine) ;
  • Oh, Sung Hee (Department of Pediatrics, Hanyang University School of Medicine)
  • 김지혜 (한양대학교 의과대학 소아과학교실) ;
  • 오성희 (한양대학교 의과대학 소아과학교실)
  • Received : 2009.04.22
  • Accepted : 2009.08.05
  • Published : 2009.09.15
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Abstract

Two adolescent cases of Fitz-Hugh-Curtis syndrome, which has not been previously reported in Korean girls, presenting with right upper-quadrant abdominal pain, nausea, vomiting, and fever are reported here. A careful and thorough inquiry into the sexual history of the first patient, which was not done upon admission, led to a careful reassessment of the dynamic abdominal computed tomography scan revealing hepatic capsular enhancement without evidence of gallbladder or liver disease. Both cases were diagnosed noninvasively and were treated successfully by medical intervention. A high index of suspicion of Fitz-Hugh-Curtis syndrome should be implemented in the differential diagnosis of right upper quadrant pain, particularly in sexually active girls, for a prompt diagnosis and rapid cure.

Fitz-Hugh-Curtis syndrome (FHCS)은 골반 내 염증과 동반된 간조직 주위염으로, 담도계 질환과 혼돈되는 우측 상복부 통증이 특징이다. 최근 한국에서도 청소년의 성적 접촉 시작 연령이 빨라짐에 따라 이와 같은 증후군의 발생률 또한 증가할 것으로 예측된다. 저자들은 역동적 복부 전산화 단층 촬영을 이용하여 동맥기의 비정상적인 간주위 피막의 조영 증강 양상으로 진단한 Fitz-Hugh-Curtis Syndrome 2례를 보고하고자 한다.

Keywords

References

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