Syn .: Perihepatitis, Fitz-Hugh and Curtis syndrome.
Def .: It is an inflammation of the perihepatic tissue with adnexitis in women.
Etiol .: The most common cause of the disease are infections with Ch. trachomatis or N. gonorrhoeae, more rarely with other microorganisms. The mechanism by which this infection occurs is unclear. It seems that microorganisms spread from the inner orifice of the infected fallopian tube into the peritoneal cavity and then into the perihepatic space. Another pattern of infection is that bacteria from the pelvis pass through the lymphatic vessels.
Clinical: Presence of typical symptoms occurring in pelvic inflammation (PID) combined with symptoms from the liver – acute pain in the right hypochondrium and pressure pain in the liver area.
DL: The statement of Ch. trachomatis in biopsy material collected during liver laparoscopy. The results of chlamydia tests in the material taken from the cervix are helpful in making the diagnosis.
DR: Inflammation of the gallbladder.
But .:? PID.
Year: Good. A frequent consequence of perihepatitis are fibrous adhesions between the liver capsule and diaphragm, and between the liver capsule and abdominal integuments.
Source: A. Kaszuba, Z. Adamski: “Lexicon of dermatology”; XNUMXst edition, Czelej Publishing House