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Acute perihepatitis.

O S Husebö, T Bjerkeseth, T Kalager

    Acta Chirurgica Scandinavica
    |January 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Acute perihepatitis, or Fitz-Hugh-Curtis syndrome, is a key diagnosis for young females with right upper quadrant pain. This condition, often linked to pelvic inflammatory disease, requires consideration in differential diagnoses.

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    Area of Science:

    • Hepatology
    • Gynecology
    • Infectious Diseases

    Background:

    • Acute perihepatitis (Fitz-Hugh-Curtis syndrome) presents with right upper quadrant pain in young females.
    • The condition is often associated with pelvic inflammatory disease, though gynecological symptoms may be minimal.
    • Intrauterine contraceptive devices (IUDs) are frequently used by affected patients.

    Purpose of the Study:

    • To highlight acute perihepatitis as a critical differential diagnosis in young females presenting with acute right hypochondrium pain.
    • To analyze the clinical presentation, diagnostic methods, and potential contributing factors in a cohort of young females with this condition.

    Main Methods:

    • Retrospective analysis of 14 young female patients admitted with acute right hypochondrium pain.

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  • Clinical evaluation, diagnostic laparoscopy for confirmation, and microbiological cultures (endocervix).
  • Review of gynecological symptoms, signs, and history of intrauterine device (IUD) use.

    • Main Results:

    • Diagnosis of acute perihepatitis confirmed by laparoscopy in all 14 patients.
    • Neisseria gonorrhoeae cultured from the endocervix in two patients.
    • Eight patients reported using a Copper-T type IUD; gynecological symptoms were generally mild.

    Conclusions:

    • Acute perihepatitis is an important consideration for young females with acute right upper quadrant pain.
    • Laparoscopy remains a key diagnostic tool for confirming Fitz-Hugh-Curtis syndrome.
    • While not always evident, underlying pelvic inflammatory disease, potentially linked to IUD use, may be a factor.