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Re: FITZ-HUGH-CURTIS SYNDROMFrom: KATHY (anonymous@obgyn.net)Wed, 19 Jan 2000 21:16:38 -0600 (CST)
At Wed, 19 Jan 2000, D. wrote: > >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 endogenou>(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. > Thank you sooooo much DR.Hill. Your info has given me alot of answers and insights. Your info however, did pose another question to me. When I had the ectopic and surgery a year ago, the operative report stated that my remaining ovary and tube where intact and without problems. Now a year later, my remaining ovary is adhered to my bladder and is causing recurrent cysts etc. I becomes pain full at certain times during my cycle and has caused dysmenorrhea. because of this and the fact that I am trying desperatly to concieve again, I am having surgery for this soon by my Infertility specialist. My question is... Since what ever I had was apparently treated at one point and I now no longer have what ever it was that caused it. Can I still continue to develope adhesions even after treatment? Or, could the the adhesion of the remaing ovary be caused by surgery I had last year?? I agian, would appreciate any info you may have. I,m concerned and confused about what is continuing to cause these adhesions and need to know how I can stop them from doing any more damage. I sincerily apprecite you having taken the time to answer my previous questions and would appreciate just as much your further help and knowledge. With much gratitude Kathy Pratt,RN CNM
-- Kathy Pratt,RN CNM
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