WOMENS-HEALTH Messages for January, 2000: Re: FITZ-HUGH-CURTIS SYNDROM

Re: FITZ-HUGH-CURTIS SYNDROM

From: D. (anonymous@obgyn.net)
Wed, 19 Jan 2000 16:31:01 -0600 (CST)

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Reply: KATHY: "Re: FITZ-HUGH-CURTIS SYNDROM"

Fitz-Hugh-Curtis syndrome is named after two doctors, Fitz-Hugh and Curtis. The "syndrome" designation is kind of a misnomer, because, in my experience, the majority of patients who have violin-string adhesions of the liver have no symptoms at all. Some, however, get pain when taking a deep breath, and I have had a couple of patients get mildly elevated liver function tests (like the SGOT you mentioned). If asymptomatic the adhesions do not need treatment. However, they will not go away on their own.

Possible causes include infection like ruptured appendix, gonorrhea, chlamydia, pelvic inflammatory disease from any source. About 75% of PID is from either gonorrhea or chlamydia, but 25% are from endogenous (from your body) bacteria. It sure sounds like somewhere in your past you developed a rip-roaring pelvic infection that damaged your tube(s) and caused liver adhesions. You will probably never know when that was, since it could have been your own bacteria, or chlamydia that was accidentally treated with antibiotics for some other reason (like a cold or sinusitis). Regardless, if the adhesions are not bothering you, I would be reluctant to suggest any intervention.

I think I have a picture of this on my web page, but I'm not sure. Try http://home.mpinet.net/dahmd and go to the photos section.

Best wishes,

--
David Ashley Hill, MD
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
http://home.mpinet.net/dahmd

My apologies, but due to time constraints I am unable to answer private e-mails.

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