書誌事項
- タイトル別名
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- FIVE CASES OF FITZ-HUGH-CURTIS SYNDROME TREATED WITH LAPAROSCOPIC SURGERY
- 公開日
- 2005
- DOI
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- 10.3919/jjsa.66.448
- 公開者
- 日本臨床外科学会
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説明
Fitz-Hugh-Curtis Syndrome (FHCS) is perihepatitis due to sexually transmitted disease mainly caused by Chlamydia trachomatis. Because FHCS presents with a variety of abdominal synptoms such as right lower abdominal pain, right upper quadrant pain, and elevated fever, to make the accurate diagnosis of FHCS from acute appendicitis, acute cholecystitis, and perforation of the duodenal ulcer is often difficult. From April 1998 to March 2001, laparoscopic surgery was performed to five patients with FHCS for diagnosis and treatment. They were 26 to 46 in age. Laparoscopic observations after placement of 12-, 6-, and 6-mm trocars revealed inflammatory redness and adhesions in the liver, intestines, and uterus, as well as small amount of turbid ascites in the five patients. Sufficient peritoneal lavage, lysis of adhesions, and peritoneal drainage were performed. In all cases chlamydia antibody tests were positive. Therefore, two-week administrations of antibiotics effective for Chlamydia trachomatis were added in all cases. The average operation time was 69 minutes (ranging from 47 to 84 min) and the average length of postoperative hospital stay was 9.6 days (7-12 days). All patients' postoperative courses were uneventful. In conclusion, laparoscopic intra-abdominal inspection, abdominal lavage, lysis of adhesions, and drainage are useful for the diagnosis and treatment of FHCS.
収録刊行物
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- 日本臨床外科学会雑誌
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日本臨床外科学会雑誌 66 (2), 448-452, 2005
日本臨床外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001204848969856
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- NII論文ID
- 130003604330
- 10015588079
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- NII書誌ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
