A case of Fitz-Hugh-Curtis syndrome with no sexual history diagnosed during laparoscopic ovarian cystectomy

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  • SHEN Jiao
    Department of Obstetrics and Gynecology, Suita Municipal Hospital
  • UMEDA Anna
    Department of Obstetrics and Gynecology, Suita Municipal Hospital
  • OTANI Azusa
    Department of Obstetrics and Gynecology, Suita Municipal Hospital
  • NISHIZAWA Minako
    Department of Obstetrics and Gynecology, Suita Municipal Hospital
  • YASUI Yuri
    Department of Obstetrics and Gynecology, Suita Municipal Hospital
  • HORIE Minoru
    Department of Obstetrics and Gynecology, Suita Municipal Hospital
  • NISHIZAKI Takamichi
    Department of Obstetrics and Gynecology, Suita Municipal Hospital
  • OHNISHI Yoko
    Department of Obstetrics and Gynecology, Suita Municipal Hospital

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Other Title
  • 腹腔鏡下卵巣囊腫摘出術を契機に診断した性交歴がないFitz-Hugh-Curtis症候群の1例
  • フククウキョウ カ ランソウ ノウシュ テキシュツジュツ オ ケイキ ニ シンダン シタ セイコウレキ ガ ナイ Fitz-Hugh-Curtis ショウコウグン ノ 1レイ

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Description

Fitz-Hugh-Curtis syndrome (FHCS) is an extra-pelvic complication of pelvic inflammatory disease (PID). It complicates approximately 12% to 13.8% of cases with PID. FHCS is typically develops secondary to genital tract infections including Chlamydia trachomatis and Neisseria gonorrhoeae. Here we describe a 37-year-old woman with no sexual experience who had laparoscopic surgery for a benign ovarian tumor and was diagnosed with FHCS on perihepatic violin string fibrinous strands. Several months before this surgery, she had experienced abdominal pain around the navel, and the right side quadrant pain due to appendicitis. Based on her clinical course, FHCS was suggested to occur concurrently or secondary to non-sexually transmitted PID and/or appendicitis. 〔Adv Obstet Gynecol, 76(1): 8-15, 2024(R6.2)〕

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