Rapports de cas cliniques et médicaux

Hepatic Fibrosis in a Male Patient, Could It Be Fitz Hugh Curtis Syndrome?

Abstract

Francis Basimbe, Hakim Din Iman, Hussein Bili, Dionizi Muganga and Jama Abdisamad

Fitz Hugh Curtis syndrome has been described mainly in females with characteristic peri hepatic fibrosis sparing the liver parenchyma and presence of pelvic inflammatory disease. The peri- hepatic fibrosis is usually between the liver capsule and the diaphragm. This has been mainly described in female patients and thought to be as a result of Pelvic Inflammatory Disease (PID). However in our setting we have noticed cases occurring mainly in young men that fit the above description. These have presented with mainly pain in the upper abdomen. Epigastrium, left and hypochondrium. In our setting some of these patients have had upper GIT Endoscopies done and a diagnose of esophageal reflux and hiatus hernias diagnosed. Pelvic manifestations of inflammation have not been present in any of these patients An abdominal CT scan may report per capsular thickening in some of these patients, however in our setting, the majority of these patients are diagnosed at laparoscopy. We therefore report a case of Fitz Hugh Curtis diagnosed at laparoscopy, the patients symptoms of upper abdominal pain have completely resolved after lysis of these peri hepatic adhesions.