A case of Fitz-Hugh-Curtis syndrome in a male

• Published in: The Korean journal of gastroenterology Vol. 55; no. 3; pp. 203 - 207
• Main Authors: Baek, Hyun Choul, Bae, Young Seok, Lee, Kwang Jae, Kim, Dong Hyun, Bae, Sang Hoon, Kim, Dong Wan, Yoon, Jung Bin, Song, Chul Soo
• Format: Journal Article
• Language: Korean
• Published: Korea (South) 01.03.2010
• Subjects: Adult; Anti-Bacterial Agents - therapeutic use; Humans; Male; Mycoplasma genitalium; Mycoplasma Infections - diagnosis; Mycoplasma Infections - drug therapy; Ofloxacin - therapeutic use; Pelvic Infection - diagnosis; Pelvic Infection - drug therapy; Tomography, X-Ray Computed
• ISSN: 1598-9992
• DOI: 10.4166/kjg.2010.55.3.203

Fitz-Hugh-Curtis syndrome has been described as focal perihepatitis accompanying pelvic inflammatory disease caused by Neisseria gonorrhea and Chlamydia trachomatis. The highest incidence occurs in young, sexually active females. However, the syndrome has been reported to occur infrequently in males, according to the foreign literature. The predominant symptoms are right upper quadrant pain and tenderness, and pleuritic right sided chest pain. The clinical presentation is similar in men and women. In women, the spread of infection to liver capsule is thought to occur directly from infected fallopian tube via the right paracolic gutter. In men, hematogenous and lymphatic spread is thought to be postulated. Recently, we experienced a case of Fitz-Hugh-Curtis syndrome occurred in a man. As far as we know, it is the first report in Korea, and we report a case with a review of the literature.