Indian Journal of Health Sciences and Care
  • Year: 2021
  • Volume: 8
  • Issue: 1

Ultrasonographic findings in cases of fitz-hugh-curtis syndrome

  • Author:
  • Nikita Gupta1, MPS Sawhney2, Bharat Bhushan Sharma3, Preet Kaur1, Shikhar Ganjoo4*
  • Total Page Count: 7
  • Page Number: 29 to 35

1Junior Resident, Department of Dermatology, SGT Medical College Hospital and Research Institute, Gurugram, Haryana, India

2Professor & Head, Department of Dermatology, SGT Medical College Hospital and Research Institute, Gurugram, Haryana, India

3Professor & Head, Department of Radio-diagnosis, SGT Medical College Hospital and Research Institute, Gurugram, Haryana, India

4Associate Professor, Department of Dermatology, SGT Medical College Hospital and Research Institute, Gurugram, Haryana, India

*Corresponding author email id: shikhar.ganjoo@gmail.com

Online published on 19 August, 2021.

Abstract

Fitz-Hugh-Curtis (FHC) syndrome (pelvic inflammatory disease with perihepatitis) occurs in up to one fourth of patients with pelvic inflammatory disease (PID).

To study ultrasonographic findings in clinically diagnosed cases of FHC syndrome.

Whole abdomen ultrasonography (USG). findings were studied in 120 cases of FHC syndrome diagnosed with PID using CDC guidelines. with right hypochondrial tenderness.

The average age of patients having FHC syndrome was 35.52±11.25 years (±2SD). On USGPID like fluid in Pouch of Douglas (POD) was found in 10 (8.33%), bulky uterus in 3 (2.5%) and hydrosalpinx in one (0.83%) In addition cervicitis, one of the manifestation of PID was found in 4 (3.33%). Uterine fibroid were seen in 6 (5.0%), PCOS/bulky ovaries in 6 (5.0%) and ovarian cyst in 4 (3.33%), theses may also be manifestation of PID. Forty (33.33%) cases of FHC syndrome had associated non-alcoholic fatty liver (NAFL); 34 (85%) with Type 1 and 6 (15.0%) with Type 2; with an average age of 41.2 years as compared to 32.93 years without NAFL, a statistically significant difference (t test value 3.17, p value 0.001). The prevalence of NAFLD was found to be significantly higher (Chi square 10.04, p 0.001) in cases with FHC syndrome as compared to those in general Indian population as reported.

Although laparoscopy is the gold standard for diagnosis of FHC syndrome, we used clinical criteria to avoid unnecessary invasive procedure.

High proportion of cases of FHC syndrome having NAFLD suggests that this may be one of its manifestations. Increasing prevalence of NAFL with increasing age signifies that patients having FHC syndrome for a longer duration are significantly at a much higher risk for the development of NAFLD.

Keywords

Fitz-Hugh-Curtis, NAFLD, Syndrome, Ultrasonographic