Síndrome de Fitz-Hugh-Curtis

Abstract

A case report in the Hospital José María Velasco Ibarra from Tena is described; it is about a 46 years old female patient who gets at the Emergency Department of this institution, with a clinical picture of abdominal pain, located in the epigastrium and right hypochondrium. Laboratory and imaging tests are performed which report, in the ultrasound abdominal, cholecystitis plus cholelithiasis, so a laparoscopic cholecystectomy is carried out, discovering incidentally in the direct visualization, the presence of abundant perihepatic adhesions, fibrous, firm between the right and left hepatic lobes that simulate "violin strings" type Fitz- -Hugh-Curtis, that when taking off they bleed easily. Adherensiólisis is realized, to avoid that later, such adhesions can cause intestinal obstruction. Due to the findings detected in the transoperative period, it is decided to admit the patient to the General Surgery Service for further treatment and recovery. At the moment the patient is in optimal health conditions with a good prognosis of her clinical picture and treatment for pelvic Inflammatory disease base. It is concluded that since pathology is very rare, accounting for 2-4% of the cases worldwide, that its etiological agents are Chlamydia Trachomatis and Neisseria Gonorrhoeae, and that its diagnosis is made by direct visualization, it is commonly infra diagnosed; for this reason, it is considered that it should be more studied and researched.