scholarly journals A rare case of Fitz-Hugh–Curtis syndrome caused by Chlamydia trachomatis in an HIV-positive male patient

2019 ◽  
Vol 7 ◽  
pp. 2050313X1882359
Author(s):  
Iva Lisičar ◽  
Josip Begovac ◽  
Šime Zekan
Keyword(s):  
Chlamydia Trachomatis ◽  
Computerized Tomography ◽  
Rare Complication ◽  
Abdominal Ultrasound ◽  
Sudden Onset ◽  
Hiv Positive ◽  
Quadrant Pain ◽  
Upper Abdominal ◽  
Abdominal Quadrant ◽  
Fitz Hugh Curtis Syndrome

Fitz-Hugh–Curtis syndrome, a rare complication of pelvic inflammatory disease, is an inflammation of the liver capsule (thus called perihepatitis) and the surrounding peritoneum. It occurs extremely rarely in men and is typically characterized by a sudden onset of severe pain in the right upper abdominal quadrant. Ultrasound examination of the liver does not reveal any morphologic changes, and liver function tests are usually normal. Computerized tomography shows the thickening of the perihepatic fat, but definitive diagnosis is only possible by direct visualization by laparoscopy or laparotomy. We present a 33-year-old HIV-positive man with Chlamydia trachomatis proctitis who developed severe right upper abdominal quadrant pain. Abdominal ultrasound did not show any liver pathology, while computerized tomography revealed hepatic capsular thickening. After 21 days of doxycycline therapy, the patient’s symptoms subsided. Based on the clinical presentation and liver computerized tomography examination, the diagnosis of proctitis and the resulting Fitz-Hugh–Curtis syndrome was made. Although it is rarely seen in male patients, it should be a part of differential diagnosis in patients who present with right upper abdominal quadrant pain, especially in men who have sex with other men.

scholarly journals A Rare Case of Chlamydia Trachomatis Associated Fitz-Hugh-Curtis Syndrome Masquerading Acute Cholecystitis

2020 ◽  
pp. 1-3
Author(s):  
Richmond Ronald Gomes ◽  
Keyword(s):  
Chlamydia Trachomatis ◽  
Inflammatory Disease ◽  
Rare Case ◽  
Clinical Presentation ◽  
Rare Complication ◽  
Starting Point ◽  
The Right ◽  
Cause Of Pain ◽  
Enhancement Characteristic ◽  
Fitz Hugh Curtis Syndrome

Fitz-Hugh–Curtis syndrome (FHCS) isa rare complication of pelvic inflammatory disease (PID) characterized by inflammation of the liver capsule (perihepatitis) following the spread of a pelvic starting point infection leading to the creation of adhesions. The most commonly involved germ is Chlamydia trachomatis. The condition is named after the two physicians, Thomas Fitz-Hugh, Jr and Arthur Hale Curtis who first reported this condition in 1934 and 1930 respectively. The clinical presentation can be misleading and simulate cholecystitis or other cause of pain in the right hypochondrium. In imaging, it results in a contrast enhancement characteristic of the hepatic capsule at portal time.

scholarly journals A dangerous pleural effusion

2010 ◽  
Vol 92 (5) ◽  
pp. e53-e54 ◽  
Author(s):  
Somprakas Basu ◽  
Shilpi Bhadani ◽  
Vijay K Shukla
Keyword(s):  
Rare Complication ◽  
Sudden Onset ◽  
Biliary Surgery ◽  
Biliary Leak ◽  
X Ray ◽  
Delay In Diagnosis ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Life Threatening ◽  
Chest X Ray

Bilothorax is a rare complication of biliary peritonitis and, if not treated promptly, can be life-threatening. We report a case of a middle-aged woman who had undergone a bilio-enteric bypass and subsequently a biliary leak developed, which finally led to intra-abdominal biliary collection and spontaneous bilothorax. The clinical course was rapid and mimicked venous thromboembolism, myocardial infarction and pulmonary oedema, which led to a delay in diagnosis and management and finally death. We high-light the fact that bilothorax, although a rare complication of biliary surgery, should always be considered as a probable cause of massive effusion and sudden-onset respiratory and cardiovascular collapse in the postoperative period. A chest X-ray and a diagnostic pleural tap can confirm the diagnosis. Once detected, an aggressive management should be instituted to prevent organ failure and death.

scholarly journals Chlamydia trachomatis detection in HIV infected patients using polymerase chain reaction

2013 ◽  
Vol 2 (1) ◽  
pp. 12-16
Author(s):  
A Shrestha ◽  
N Adhikari ◽  
Y Shah ◽  
P Poudel ◽  
B Acharya ◽  
...  
Keyword(s):  
Polymerase Chain Reaction ◽  
Chlamydia Trachomatis ◽  
Public Health Problem ◽  
Chlamydia Infection ◽  
Hiv Positive ◽  
Chain Reaction ◽  
Hiv Patients ◽  
Important Public Health Problem ◽  
Sexually Transmitted ◽  
Polymerase Chain

Introduction: Chlamydia trachomatis is a sexually transmitted organism and causes important public health problem in the sexually active age group. Limited studies are found regarding the prevalence of C. trachomatis in Nepal. Moreover, currently there are no any study in Nepal reporting the association of chlamydia and HIV infection. This study attempts to determine the burden of chlamydia on HIV positive patients. Materials and Methods: A total of 117 HIV positive patients visiting a HIV clinic in Kathmandu, were screened for chlamydia infection. For this, urine samples were collected and analyzed using the Polymerase Chain Reaction Technique (PCR). Results: C. trachomatis was detected in 4.2% of the total 117 HIV patients. Out of positive cases 60% were males and 40% were females. However, chlamydia was found more prevalent among females (6.8%) than males (3.4%). Eighty percent of positive cases were asymptomatic. Conclusions: Although, the prevalence of chlamydia infection was found less HIV patients, most of those cases were asymptomatic. Therefore, routine checkup is recommended for all suspected cases for timely management of the disease. DOI: http://doi.dx.org/10.3126/ijim.v2i1.8003 Int J Infect Microbiol 2013;2(1):12-16

scholarly journals Spontaneous rupture of a splenic artery aneurysm with splenic epithelioid hemangioendothelioma: a case report

2019 ◽  
Vol 47 (2) ◽  
pp. 1059-1063
Author(s):  
Ganghong Chen ◽  
Jing Yang ◽  
Guangyu Qian ◽  
Kexiang Jiang ◽  
Yanting Lv ◽  
...  
Keyword(s):  
Case Report ◽  
Spontaneous Rupture ◽  
Splenic Artery ◽  
Hypovolemic Shock ◽  
Artery Aneurysm ◽  
Rare Condition ◽  
Sudden Onset ◽  
Epithelioid Hemangioendothelioma ◽  
Splenic Artery Aneurysm ◽  
Quadrant Pain

Spontaneous rupture of a splenic artery aneurysm with splenic epithelioid hemangioendothelioma is a rare condition. Splenic artery aneurysm can be complicated by rupture resulting in hypovolemic shock, which can be fatal if not treat properly. We report a case of a 50-year-old man who presented with sudden onset of left upper quadrant pain and shock. This patient underwent splenectomy with distal pancreatectomy. His pathological diagnosis showed splenic epithelioid hemangioendothelioma.

scholarly journals Proximal peroneal artery traumatic pseudoaneurysm following a compound proximal tibial shaft fracture managed with an external fixator: A case report

2019 ◽  
Vol 27 (1) ◽  
pp. 89-92
Author(s):  
Malinda Rasith Ileperuma ◽  
Badra Hewavithana
Keyword(s):  
External Fixator ◽  
Rare Complication ◽  
Shaft Fracture ◽  
Sudden Onset ◽  
Peroneal Artery ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Artery Pseudoaneurysm ◽  
Initial Injury ◽  
High Index Of Suspicion

A case of post-traumatic proximal peroneal artery pseudoaneurysm following a proximal tibial shaft fracture, complicated by acute compartment syndrome, fixed using an external fixator, in a 22-year-old female is presented. She was investigated for sudden-onset bleeding from the external fixator pin site, 6 weeks after the initial injury, was anaemic and diagnosed with a pseudoaneurysm at lower limb angiography. Contrast leak from the site of pseudoaneurysm was noted and open surgery with ligation of the pseudoaneurysm was performed. This rare complication of a proximal tibial shaft fracture has to be considered in patients presenting with acute bleeding from the surgical site or from pin sites after a significant lag period and requires a high index of suspicion.

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