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Fitz-Hugh–Curtis Syndrome
Fitz-Hugh–Curtis Syndrome
ÁNGEL BALLADARES
DEFINITION
Fitz-Hugh–Curtis syndrome is a rare complication of pelvic inflammatory disease (PID) involving liver capsule inflammation[1] leading to the creation of adhesions.
DEFINITION
APPLICATION IN NURSING
The major symptom and signs include an acute onset of right upper quadrant (RUQ) abdominal pain aggravated by breathing, coughing or laughing, which may be referred to the right shoulder.
APPLICATIONS IN NURSING
PROS AND CONS
This may be due to infectious bacteria bypassing pelvic structures on the way to the liver capsule.
Fitz-Hugh–Curtis syndrome occurs almost exclusively in women.
PROS AND CONS
ISSUE APPLIED TO ECUADOR
ISSUE APPLIED TO ECUADOR
A 48-year-old woman, nulliparous, with a history of a right tubal ectopic pregnancy, who entered the Gynecology Unit of the Guayaquil Clinic, for an elective hysterectomy for symptomatic adenomyosis, complicated by chronic secondary anemia. Total hysterectomy, with ovarian preservation, was performed laparoscopically, without incidents. In turn, the abdominal-pelvic cavity was explored, including the organs and walls, as we methodically and routinely do. When observing the liver surface, "violin string" adhesions were found, between the liver and the abdominal wall, pathognomonic of the chronic stage Fitz-Hugh-Curtis syndrome.
CONCLUSION
CONCLUSION
These bacterial pathogens cause a thinning of cervical mucus and allow bacteria from the vagina into the uterus and fallopian tubes, causing infection and inflammation. Occasionally, this inflammation can cause scar tissue to form on Glisson's capsule, a thin layer of connective tissue surrounding the liver.