Fitz-Hugh-Curtis syndrome: An incidental diagnostic finding in an infertility workup.
A case of Fitz-Hugh-Curtis syndrome in a 32-year-old para 1+1 is reported. She presented with inability to conceive of 4 years duration. Her husband's semen analysis was within normal range. She had a hysterosalpingogram that showed bilateral tubal blockage and clinical assessment showed right sided abdominal tenderness, cervical excitation tenderness, and adnexa tenderness. The endocervical swab test for Chlamydia trachomatis was a positive. Laparoscopy and dye test showed adhesion bands on the under surface of the liver (the violin string appearance). She recovered well postoperatively. The couple received ofloxacin and metronidazole for 2 weeks. Literatures on Fitz-Hugh-Curtis syndrome presentation, pathogenesis, and management were reviewed.
Department of Obstetrics and Gynaecology, Reproductive Endocrinology and Infertility Unit, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
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Onoh
Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
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Mgbafuru
Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
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Onubuogu
Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria.
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Ugwuoke
D015746:Abdominal Pain; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002690:Chlamydia Infections / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D002692:Chlamydia trachomatis; D005260:Female; D006505:Hepatitis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007047:Hysterosalpingography; D033162:Incidental Findings; D007247:Infertility, Female / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D010535:Laparoscopy; D008795:Metronidazole / Q000627:therapeutic use; D015242:Ofloxacin / Q000627:therapeutic use; D000292:Pelvic Inflammatory Disease / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D017699:Pelvic Pain; D010538:Peritonitis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D000267:Tissue Adhesions / Q000601:surgery
D000900:Anti-Bacterial Agents; D008795:Metronidazole; D015242:Ofloxacin