Internal hernia secondary to Fitz-Hugh-Curtis syndrome causing small bowel obstruction

Authors

  • Matthew J. McMahon Department of Surgery, Cairns Base Hospital, Queensland, Australia https://orcid.org/0000-0003-4404-2192
  • Eshwarshanker Jeyarajan Department of Surgery, Cairns Base Hospital, Queensland, Australia

DOI:

https://doi.org/10.18203/2349-2902.isj20240180

Keywords:

Small bowel obstruction, Fitz-Hugh-Curtis, PID, Laparoscopy

Abstract

We present a 56-year-old female who presented with symptoms suggestive of a small bowel obstruction (SBO) in a virgin abdomen. Cross-sectional imaging and laparoscopy revealed an internal hernia through perihepatic adhesions that are likely representative of Fitz-Hugh-Curtis syndrome (FHCS). These adhesions were divided, the small bowel reduced, and she made an unremarkable recovery. This is the first reported case of an internal hernia from FHCS causing an SBO.

References

Schick MA, Kashyap S, Meseeha M. Small Bowel Obstruction. 2023. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2023.

Basit H, Pop A, Malik A, Sharma S. Fitz-Hugh-Curtis Syndrome. 2023 Jul 3. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2023

Bower KL, Lollar DI, Williams SL, Adkins FC, Luyimbazi DT, Bower CE. Small Bowel Obstruction. Surg Clin North Am. 2018;98(5):945-71.

Hayakawa H, Suenaga M, Tobinaga J, Takeuchi Y, Uchimura M, Nomura N, et al. A Operated Case of Ileus Caused by Perihepatitis (Fitz-Hugh-Curtis Syndrome) Supposedly due to Chlamydia Trachomatis Infection. Japanese J Gastroenterol Surg. 2001;34(8):1331-5.

Sia ZK, Trautman J, Yabe TE, Wykes J. A Rare Case of Small Bowel Obstruction in a Patient with Endosalpingiosis, Fitz-Hugh-Curtis Syndrome, and Chlamydia trachomatis Pelvic Inflammatory Disease. Case Rep Surg. 2022;2451428.

Al-Ghassab RA, Tanveer S, Al-Lababidi NH, Zakaria HM, Al-Mulhim AA. Adhesive Small Bowel Obstruction due to Pelvic Inflammatory Disease: A Case Report. Saudi J Med Med Sci. 2018;6(1):40-2.

Haumann A, Ongaro S, Detry O, Meunier P, Meurisse M. Acute pelvic inflammatory disease as a rare cause of acute small bowel obstruction. Acta Chir Belg. 2019;119(5):328-30.

Lanzetta MM, Masserelli A, Addeo G, Cozzi D, Maggialetti N, Danti G, et al. Internal hernias: a difficult diagnostic challenge. Review of CT signs and clinical findings. Acta Biomed. 2019;90(5-S):20-37.

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Published

2024-01-30

Issue

Section

Case Reports