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[Peri-hepatitis abscess secondary to pelvic peritonitis]
N Chevalier1, R De Tayrac, I Dagher
1Service de Gynécologie-Obstétrique, Hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, 92141 Clamart Cedex, France.
Objective:
To report the case of a 42-year-old patient referred for exploration of a tumor of the right flank and evidence of inflammation.
Material:
and methods. Ultrasonography and computed tomography showed a liver mass associated with a heterogeneous adnexal mass. Serum CA-125 was elevated and ovarian cancer with liver metastasis was suspected. An alternative diagnosis was salpingitis complicated by Fitz-Hugh-Curtis syndrome in this patient wearing an intra-uterine contraceptive device.
Results:
Exploratory laparoscopy was performed and confirmed the diagnosis of salpingitis complicated by an ovarian abscess and Fitz-Hugh-Curtis syndrome with rare abscess formation. Outcome was favorable after adapted antibiotic treatment.
Conclusion:
Fitz-Hugh-Curtis syndrome can take on an atypical aspect and should be entertained as a possible diagnosis in young women presenting pain of the right flank and fever.