FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2922460170> ?p ?o ?g. }

• W2922460170 endingPage "S1243" @default.
• W2922460170 startingPage "S1243" @default.
• W2922460170 abstract "Fitz-Hugh-Curtis syndrome (FHCS) is a rare complication of pelvic inflammatory disease (PID) that involves liver capsule inflammation, leading to creation of adhesions. It occurs most commonly in women of childbearing age. However, it has been reported in men. An 18-y.o. G1P1 female presented to the ER with one week history of severe intermittent RUQ pain, radiating to her right shoulder; each pain episode lasting about 30 minutes. On day of admission, her pain lasted for 5 hours, with no other GI or GU symptoms. She was vitally stable and her exam was unremarkable except for mild RUQ tenderness. Urine pregnancy test, US, and CT abdomen with IV contrast were negative. She was put on supportive therapy with pain medications but continued to have severe pain and repeat CT abdomen was negative. On detailed history, she reported unprotected coitus. PCR for Gonorrhea and Chlamydia later came back positive. Gynecological evaluation revealed normal uterus, cervix without motion tenderness, and non-tender adnexa. She was started on antibiotics but continued to have excruciating pain. Diagnostic laparoscopy was therefore performed showing turbid pelvic fluid, bilateral injected fallopian tubes both adherent to the sigmoid colon, appendix adherent to the right fallopian tube, right liver lobe surface with hemorrhagic exudates mirroring the overlying peritoneal surface, normal ovaries, uterus and gallbladder. Adhesions were lysed. The findings were consistent with acute PID with FHCS. Intra-abdominal cultures remained negative. She improved clinically and was discharged to complete a course of oral antibiotics. FHCS is a type of perihepatitis that causes liver capsule inflammation without affecting hepatic parenchyma. FHCS consists of RUQ pain following transabdominal spread of infection from PID. During the chronic phase, adhesions form between the anterior liver capsule and the anterior abdominal wall or diaphragm, classically described as ‘violin strings'. FHCS provides a diagnostic challenge as it can mimic many other diseases, most often acute cholecystitis. Non-invasive diagnostic modalities are usually non-revealing, and diagnostic laparoscopy for direct visualization is often required. Therefore, a high index of clinical suspicion is needed to avoid delay in treatment initiation and increased morbidity. Clinicians should be made aware that FHCS cannot be excluded when patients present with RUQ abdominal pain without significant signs of biliary tract disease." @default.
• W2922460170 created "2019-03-22" @default.
• W2922460170 creator A5005062968 @default.
• W2922460170 creator A5067660931 @default.
• W2922460170 date "2018-10-01" @default.
• W2922460170 modified "2023-10-18" @default.
• W2922460170 title "A Forgotten Cause of Acute Abdominal Pain" @default.
• W2922460170 doi "https://doi.org/10.14309/00000434-201810001-02174" @default.
• W2922460170 hasPublicationYear "2018" @default.
• W2922460170 type Work @default.
• W2922460170 sameAs 2922460170 @default.
• W2922460170 citedByCount "0" @default.
• W2922460170 crossrefType "journal-article" @default.
• W2922460170 hasAuthorship W2922460170A5005062968 @default.
• W2922460170 hasAuthorship W2922460170A5067660931 @default.
• W2922460170 hasConcept C141071460 @default.
• W2922460170 hasConcept C2776870353 @default.
• W2922460170 hasConcept C2779983558 @default.
• W2922460170 hasConcept C2780136519 @default.
• W2922460170 hasConcept C2780955771 @default.
• W2922460170 hasConcept C2781074409 @default.
• W2922460170 hasConcept C2993569511 @default.
• W2922460170 hasConcept C71924100 @default.
• W2922460170 hasConceptScore W2922460170C141071460 @default.
• W2922460170 hasConceptScore W2922460170C2776870353 @default.
• W2922460170 hasConceptScore W2922460170C2779983558 @default.
• W2922460170 hasConceptScore W2922460170C2780136519 @default.
• W2922460170 hasConceptScore W2922460170C2780955771 @default.
• W2922460170 hasConceptScore W2922460170C2781074409 @default.
• W2922460170 hasConceptScore W2922460170C2993569511 @default.
• W2922460170 hasConceptScore W2922460170C71924100 @default.
• W2922460170 hasIssue "Supplement" @default.
• W2922460170 hasLocation W29224601701 @default.
• W2922460170 hasOpenAccess W2922460170 @default.
• W2922460170 hasPrimaryLocation W29224601701 @default.
• W2922460170 hasRelatedWork W190138618 @default.
• W2922460170 hasRelatedWork W2003888552 @default.
• W2922460170 hasRelatedWork W2048714524 @default.
• W2922460170 hasRelatedWork W2342961401 @default.
• W2922460170 hasRelatedWork W2384196439 @default.
• W2922460170 hasRelatedWork W2409130183 @default.
• W2922460170 hasRelatedWork W2409963960 @default.
• W2922460170 hasRelatedWork W2416936054 @default.
• W2922460170 hasRelatedWork W4224926121 @default.
• W2922460170 hasRelatedWork W73216138 @default.
• W2922460170 hasVolume "113" @default.
• W2922460170 isParatext "false" @default.
• W2922460170 isRetracted "false" @default.
• W2922460170 magId "2922460170" @default.
• W2922460170 workType "article" @default.