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題名 | Laparoscopic Diagnosis and Management of Fitz-Hugh-Curtis Syndrome: Report of Three Cases=以腹腔鏡診斷與處理Fitz-Hugh-Curtis症候群:三例報告 |
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作者 | 吳憲銘; 李奇龍; 顏志峰; 王錦榮; 宋永魁; Wu, Hsien-ming; Lee, Chyi-long; Yen, Chih-feng; Wang, Chin-jung; Soong, Yung-kuei; |
期刊 | 長庚醫學 |
出版日期 | 20010600 |
卷期 | 24:6 2001.06[民90.06] |
頁次 | 頁388-392 |
分類號 | 416.27 |
語文 | eng |
關鍵詞 | Fitz-Hugh-Curtis症候群; 骨盆腔炎症; 腹腔鏡手術; Fitz-Hugh-Curtis syndrome; Pelvic inflammatory disease; Laparoscopy; |
英文摘要 | Perihepatic adhesions between the liver capsule and the diaphragm or the anterior peritoneal surface characterizes Fitz-Hugh-Curtis syndrome (FHCS). FHCS is an extrapelvic manifestation of pelvic inflammatory disease and usually refractory to medical treatment and surgical intervention. With the increased incidence of pelvic inflammatory disease, chronic pelvic pain and sequalae of the process are becoming more common. Herein, we report 3 patients with pelvic inflammatory disease in whom medical treatment failed initially and FHCS was diagnosed via laparoscopy. Laparoscopic lysis of pelvic and perihepatic adhesions, irrigation of the abdomino-pelvic cavity, and antibiotics treatment after surgery successfully relieved these patientsO symptoms. FHCS is not a new syndrome but most gynecologists might neglect this condition. Laparoscopy is a less invasive procedure than exploratory laparotomy. We recommend laparoscopy in patients with lower abdominal and right upper quadrant discomfort when other organic disease has been ruled out and medical treatment has failed to relieve symptoms. (Chang Gung Med J 2001;24:388-92) |
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