Clinical acute cholecystitis and the Curtis-Fitz-Hugh syndrome.
When patients are admitted with clinically diagnosed acute cholecystitis, no cause will be found for their pain in 9-13% (4.5). Our retrospective study shows that women between 15-35 years are most likely to be in this group. Our prospective study of all patients in the 15-35 year age group admitted with clinical 'acute cholecystitis', showed that in 6 out of 7 patients with 'undiagnosed' pain, the Curtis-Fitz-Hugh syndrome was the cause. We suggest that screening for the Curtis-Fitz-Hugh syndrome is performed in all patients with right upper quadrant pain who have a normal ultrasound scan.
Shanahan
D
D
Wycombe General Hospital, London.
Lord
P H
PH
Grogono
J
J
Wastell
C
C
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D002690:Chlamydia Infections / Q000175:diagnosis*; D002692:Chlamydia trachomatis / Q000302:isolation & purification; D002764:Cholecystitis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis*; D006505:Hepatitis / Q000175:diagnosis*; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012189:Retrospective Studies; D013577:Syndrome; D014552:Urinary Tract Infections / Q000175:diagnosis*