Fitz-Hugh-Curtis Syndrome: single centre experiences

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This single-center retrospective review analyzed 3,674 laparoscopies, identifying 10 confirmed Fitz-Hugh-Curtis Syndrome cases with CT-diagnosed liver capsular enhancement and 101 FHCS-like lesions.

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Abstract

This study was conducted to report 10 cases of Fitz-Hugh-Curtis Syndrome (FHCS) diagnosed with CT and 101 cases of FHCS-like lesion that suggested perihepatitis during laparoscopic surgery. We reviewed retrospectively the images of 3,674 laparoscopies for obstetrical and gynaecological diseases and analysed 10 cases of FHCS diagnosed by clinical patterns and CT. All the 10 cases showed liver capsular enhancement on CT. Among the 3,674 laparoscopies, we found 101 cases (2.7%) with FHCS like lesion. Among them, 23 cases were during laparoscopic procedure for endometriosis, 16 for gynaecological malignant tumours, 16 for benign adnexal diseases excluding endometriosis, 13 for uterine leiomyoma, 7 for pelvic inflammatory disease, 2 had peritoneal tuberculosis and 21 for other gynaecological diseases. Further consideration should be given for the causes of FHCS other than N. gonorrhoeae and C. trachomatis. Because FHCS may represent various clinical phases, other considerations and clinical classifications are necessary for treatment.

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Condition tags

endometriosis

MeSH descriptors

Hepatitis Pelvic Inflammatory Disease Adult Adult Female Female Hepatitis Hepatitis Hepatitis Humans Humans Laparoscopy Laparoscopy Pelvic Inflammatory Disease Pelvic Inflammatory Disease Syndrome Syndrome Tomography, X-Ray Computed Tomography, X-Ray Computed Young Adult

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europepmc
last seen: 2026-10-27T06:12:01.810347+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-10-08T21:07:31.877465+00:00
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