JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY
Online ISSN : 1884-5746
Print ISSN : 1884-9938
Case report
A rare case of Mayer-Rokitansky-Küster-Hauser syndrome with perihepatic adhesions, a known characteristic of Fitz-Hugh-Curtis syndrome
Yuki UjihiraJuichiro SaitoIwaho Kikuchi
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2016 Volume 32 Issue 1 Pages 250-254

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Abstract

Background: Fitz-Hugh-Curtis syndrome (FHCS) is a condition of perihepatitis associated with gonococcal or chlamydial infection, characterized by perihepatic adhesions between the liver capsule and the diaphragm or the anterior peritoneal surface. The possibility of women with Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) experiencing sexually transmitted diseases is very low. We report a rare case where a woman with MRKHS was detected with perihepatic adhesions accidentally during laparoscopic surgery.

Case report: A 73-year-old virgin patient, who had established MRKHS, presented with right ovarian tumor. Magnetic resonance imaging revealed dermoid cyst of the right ovary and we performed laparoscopic surgery. Surgery was successful, but we found violin-string adhesions between the liver capsule and the anterior peritoneal surface. The serum tested negative for chlamydial IgA and IgG.

Comment: This case shows that perihepatic adhesions can occur because of reasons other than gonococcal or chlamydial infections.

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© 2016 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy
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