Perihepatitis, otherwise known as Fitz-Hugh-Curtis syndrome is a rare disorder, which in most cases affects women.
Muscles are separating the chest and abdomen (diaphragm), which play a major role in breathing, may also have an impact on the appearance of the disease. Typical symptoms perihepatitis is a severe pain in the upper abdomen, fever, chills, headache, and feeling unwell.
Fitz-Hugh-Curtis syndrome is a complication associated with pelvic inflammatory disease and is often associated with infections of the upper female genital tract (most often related to bacteria Neisseria gonorrhoeae and Chlamydia trachomatis).
The symptoms of perihepatitis
Perihepatitis is characterized by a sudden attack symptomatic, in which the patient feels intense pain in the upper-right part of the abdomen. The pain may spread to other areas in the right shoulder and the inside of the right hand. Moving very often becomes the cause of the intensification of strength pain.
Also, the symptoms of the syndrome Fitz-Hugh-Curtis may appear fever, chills, night sweats, vomiting, and nausea. Some people affected may also suffer headaches, malaise, and general tiredness.
Some of the symptoms of the disease may be associated with pelvic inflammatory disease, can appear in connection with the elevated temperature, vaginal secretions, and abdominal pain.
The causes of perihepatitis
The majority of cases the appearance of perihepatitis is due by the bacterium Chlamydia trachomatis, also responsible for gonorrhea. The reason may be as well the Neisseria gonorrhoeae, but they are rare.
The process in which the bacterial infections are responsible for a Fitz-Hugh-Curtis syndrome (pathogenesis) are not entirely understood. It is believed that they occur due to infection of the liver and surrounding tissues, which can be carried away by the bloodstream or lymphatic.
Some researchers have suggested that perihepatitis may result from an abnormal immune response to infection with the Neisseria gonorrhoeae and Chlamydia trachomatis, wherein the body attacks healthy cells, which promotes the development of bacterial related diseases.
For perihepatitis appear fibrous scarring tissue (adhesions) between the liver and the abdominal walls or diaphragm.
Symptoms of the disease may be associated with some of the other diseases as:
- viral hepatitis,
- inflammation of the pancreas,
- the bacterial disease, fungal infections,
- viral pneumonia,
The diagnosis is based on exclusion of other causes symptomatic particularly intense pain in the upper abdomen. Are carried out, in this order tests such as X-ray examination (ultrasound, CT, etc.), Laparoscopy diagnostic and laboratory tests.
The treatment shall be directed to the individual symptoms of the disease. Among the traditional methods of treatment are used antibiotics, such as tetracycline, doxycycline, ofloxacin, metronidazole and additional antibiotics that may be helpful in combating infection itself. Also, are used painkillers like acetaminophen or codeine.
Sometimes it is necessary to undertake surgical procedure called laparotomy, which allows you to remove fibrous scar tissue (adhesions) that cause perihepatitis.