[Peri-hepatitis abscess secondary to pelvic peritonitis].
OBJECTIVE
To report the case of a 42-year-old patient referred for exploration of a tumor of the right flank and evidence of inflammation.


METHODS
and methods. Ultrasonography and computed tomography showed a liver mass associated with a heterogeneous adnexal mass. Serum CA-125 was elevated and ovarian cancer with liver metastasis was suspected. An alternative diagnosis was salpingitis complicated by Fitz-Hugh-Curtis syndrome in this patient wearing an intra-uterine contraceptive device.


RESULTS
Exploratory laparoscopy was performed and confirmed the diagnosis of salpingitis complicated by an ovarian abscess and Fitz-Hugh-Curtis syndrome with rare abscess formation. Outcome was favorable after adapted antibiotic treatment.


CONCLUSIONS
Fitz-Hugh-Curtis syndrome can take on an atypical aspect and should be entertained as a possible diagnosis in young women presenting pain of the right flank and fever.
Chevalier
N
N
Service de Gynécologie-Obstétrique, Hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, 92141 Clamart Cedex, France.
De Tayrac
R
R
Dagher
I
I
Mockly
J F
JF
Franco
D
D
Fernandez
H
H
D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D018394:CA-125 Antigen / Q000097:blood; D002690:Chlamydia Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D002692:Chlamydia trachomatis; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects; D008100:Liver Abscess / Q000209:etiology*; D000292:Pelvic Inflammatory Disease / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010533:Peritoneal Lavage; D010538:Peritonitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D012488:Salpingitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013577:Syndrome; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D018394:CA-125 Antigen