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Fitz-Hugh-Curtis Syndrome in a Male Patient.
Cureus
May 2024
General Surgery, Nazareth Hospital - Trinity Health Mid-Atlantic, Philadelphia, USA.
Article Synopsis
- A 38-year-old man experienced severe right upper quadrant abdominal pain for seven years, undergoing multiple tests that found no issues with his bile or upper digestive system.
- In March 2023, he was set to have robotic surgery for suspected biliary problems, but during surgery, doctors discovered perihepatic adhesions linked to Fitz-Hugh-Curtis syndrome.
- After removing the adhesions and performing a liver biopsy, the patient felt completely better two weeks post-surgery, emphasizing the need to consider FHCS in persistent abdominal pain cases with negative tests to avoid lengthy diagnostics.
Is Hepatobiliary Scintigraphy Sufficient to Diagnose Rotor Syndrome in a 3-Year-Old Boy?
J Nucl Med Technol
June 2021
Third Department of Pediatrics, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Rotor syndrome (RS) is a benign, inherited, commonly misdiagnosed cause of conjugated hyperbilirubinemia whose identification prevents unnecessary invasive investigations. We present the case of a 3-y-old boy with phenotypic and laboratory findings of RS but negative genetic test results, whose diagnosis was confirmed by hepatobiliary scintigraphy.
View Article and Find Full Text PDFCholescintigraphy for Differentiation of True Duodenal Obstruction from Pseudo Obstruction.
J Nucl Med Technol
December 2020
Department of Radiology, St. Vincent's Medical Center, Bridgeport, Connecticut.
Small-bowel obstruction is a fairly common cause of abdominal pain. Differentiating between true duodenal obstruction and pseudo obstruction is important given differing treatment strategies. Here, we present augmentation of a hepatobiliary scan with a small amount of oral liquids and delayed imaging to differentiate between these two entities.
View Article and Find Full Text PDFACR Appropriateness Criteria Right Upper Quadrant Pain.
J Am Coll Radiol
May 2019
Specialty Chair, Virginia Commonwealth University Medical Center, Richmond, Virginia.
Although right upper quadrant pain is a very common clinical presentation, it can be nonspecific. However, acute cholecystitis is very often the diagnosis of exclusion. This review focuses on the recommended imaging evaluation in the most commonly encountered clinical scenarios presenting with right upper quadrant abdominal pain, including suspected biliary disease, suspected acute cholecystitis, and suspected acalculous cholecystitis.
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