{"title":"Fitz-Hugh-Curtis综合征特征的肝表面粘连，证实了miyr - Rokitansky-Kuster-Hauser综合征的一个例子","authors":"Y. Ujihira, J. Saito, I. Kikuchi","doi":"10.5180/JSGOE.32.250","DOIUrl":null,"url":null,"abstract":"Background: Fitz-Hugh-Curtis syndrome (FHCS) is a condition of perihepatitis associated with gonococcal or chlamydial infection, characterized by perihepatic adhesions between the liver capsule and the diaphragm or the anterior peritoneal surface. The possibility of women with Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) experiencing sexually transmitted diseases is very low. We report a rare case where a woman with MRKHS was detected with perihepatic adhesions accidentally during laparoscopic surgery. Case report: A 73-year-old virgin patient, who had established MRKHS, presented with right ovarian tumor. Magnetic resonance imaging revealed dermoid cyst of the right ovary and we performed laparoscopic surgery. Surgery was successful, but we found violin-string adhesions between the liver capsule and the anterior peritoneal surface. The serum tested negative for chlamydial IgA and IgG. Comment: This case shows that perihepatic adhesions can occur because of reasons other than gonococcal or chlamydial infections.","PeriodicalId":325241,"journal":{"name":"Japanese Journal of Gynecologic and Obstetric Endoscopy","volume":"6 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Fitz-Hugh-Curtis症候群に特徴的とされる肝表面癒着を認めたMayer-Rokitansky-Küster-Hauser症候群の一例\",\"authors\":\"Y. Ujihira, J. Saito, I. Kikuchi\",\"doi\":\"10.5180/JSGOE.32.250\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Fitz-Hugh-Curtis syndrome (FHCS) is a condition of perihepatitis associated with gonococcal or chlamydial infection, characterized by perihepatic adhesions between the liver capsule and the diaphragm or the anterior peritoneal surface. The possibility of women with Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) experiencing sexually transmitted diseases is very low. We report a rare case where a woman with MRKHS was detected with perihepatic adhesions accidentally during laparoscopic surgery. Case report: A 73-year-old virgin patient, who had established MRKHS, presented with right ovarian tumor. Magnetic resonance imaging revealed dermoid cyst of the right ovary and we performed laparoscopic surgery. Surgery was successful, but we found violin-string adhesions between the liver capsule and the anterior peritoneal surface. The serum tested negative for chlamydial IgA and IgG. Comment: This case shows that perihepatic adhesions can occur because of reasons other than gonococcal or chlamydial infections.\",\"PeriodicalId\":325241,\"journal\":{\"name\":\"Japanese Journal of Gynecologic and Obstetric Endoscopy\",\"volume\":\"6 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1900-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Japanese Journal of Gynecologic and Obstetric Endoscopy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5180/JSGOE.32.250\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Japanese Journal of Gynecologic and Obstetric Endoscopy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5180/JSGOE.32.250","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
背景:Fitz-Hugh-Curtis综合征(FHCS)是一种伴有淋球菌或衣原体感染的周围肝炎，以肝包膜与膈膜或腹膜前表面之间的肝周粘连为特征。患有meyer - rokitansky - k ster- hauser综合征(MRKHS)的妇女患性传播疾病的可能性非常低。我们报告一个罕见的情况下，一名妇女与MRKHS被发现与肝周粘连意外腹腔镜手术。病例报告:一个73岁的处女患者，谁已经建立MRKHS，提出了右侧卵巢肿瘤。磁共振成像显示右卵巢皮样囊肿，我们进行了腹腔镜手术。手术很成功，但我们发现肝包膜和腹膜前表面之间有小提琴弦粘连。血清衣原体IgA和IgG检测呈阴性。评论:本病例显示肝周粘连可由淋球菌或衣原体感染以外的原因引起。
Background: Fitz-Hugh-Curtis syndrome (FHCS) is a condition of perihepatitis associated with gonococcal or chlamydial infection, characterized by perihepatic adhesions between the liver capsule and the diaphragm or the anterior peritoneal surface. The possibility of women with Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) experiencing sexually transmitted diseases is very low. We report a rare case where a woman with MRKHS was detected with perihepatic adhesions accidentally during laparoscopic surgery. Case report: A 73-year-old virgin patient, who had established MRKHS, presented with right ovarian tumor. Magnetic resonance imaging revealed dermoid cyst of the right ovary and we performed laparoscopic surgery. Surgery was successful, but we found violin-string adhesions between the liver capsule and the anterior peritoneal surface. The serum tested negative for chlamydial IgA and IgG. Comment: This case shows that perihepatic adhesions can occur because of reasons other than gonococcal or chlamydial infections.
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