Abstract
Fitz–Hugh–Curtis syndrome (FHCS) is characterized by perihepatic and pelvic inflammation and occurs mostly in women of childbearing age. Here, we report a case of FHCS caused by Chlamydia trachomatis in a 50-year-old man. The patient presented to our hospital with right upper quadrant abdominal pain, and enhanced computed tomography revealed perihepatic and pelvic free fluid and early-phase hepatic capsular enhancement. A urine specimen was positive for Chlamydia trachomatis. The patient was diagnosed with FHCS due to Chlamydia trachomatis infection. In conclusion, FHCS cannot be excluded when men present with right upper quadrant abdominal pain without significant signs of biliary tract disease.
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Acknowledgements
We are indebted to Professor Kengo Yoshimitsu, Department of Radiology, and Professor Tohru Takata, Division of Infectious Disease, both at Fukuoka University Hospital, for their advice on radiology and infection detection.
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Kazuhide Takata, Hiromi Fukuda, Kaoru Umeda, Ryo Yamauchi, Sho Fukuda, Hideo Kunimoto, Takashi Tanaka, Keiji Yokoyama, Daisuke Morihara, Yasuaki Takeyama, Makoto Irie, Satoshi Shakado, and Shotaro Sakisaka declare that they have no conflict of interest.
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All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.
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Takata, K., Fukuda, H., Umeda, K. et al. Fitz–Hugh–Curtis syndrome in a man positive for Chlamydia trachomatis. Clin J Gastroenterol 11, 338–342 (2018). https://doi.org/10.1007/s12328-018-0829-5
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DOI: https://doi.org/10.1007/s12328-018-0829-5