Abstract
Right upper abdominal pain in the presence of pelvic inflammatory disease is called Fitz-Hugh-Curtis syndrome. It is due to perihepatitis secondary to transperitoneal spread of Neisseria gonorrhoeae or Chlamydia trachomatis. Twenty-five percent of all patients present with right upper abdominal pain as their sole complaint. In order to recognize and manage Fitz-Hugh-Curtis syndrome, the clinician must carefully consider that young, sexually active women may have occult pelvic inflammatory disease. A case history demonstrates how clinical recognition allows effective management before the results of laboratory investigations are available. The Fitz-Hugh-Curtis syndrome is readily treated with conventional antibiotic regimens.
Keywords: Chlamydia trachomatis, Fitz-Hugh-Curtis syndrome, pelvic inflammatory disease
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Selected References
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- Clair J., Kurtz J. B. Chlamydia trachomatis and upper abdominal pain. Lancet. 1983 May 7;1(8332):1044–1045. doi: 10.1016/s0140-6736(83)92667-3. [DOI] [PubMed] [Google Scholar]
- Dalaker K., Gjønnaess H., Kvile G., Urnes A., Anestad G., Bergan T. Chlamydia trachomatis as a cause of acute perihepatitis associated with pelvic inflammatory disease. Br J Vener Dis. 1981 Feb;57(1):41–43. doi: 10.1136/sti.57.1.41. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Weström L., Mårdh P. A. Chlamydial salpingitis. Br Med Bull. 1983 Apr;39(2):145–150. doi: 10.1093/oxfordjournals.bmb.a071806. [DOI] [PubMed] [Google Scholar]
- Wølner-Hanssen P., Svensson L., Weström L., Mårdh P. A. Isolation of Chlamydia trachomatis from the liver capsule in Fitz-Hugh-Curtis syndrome. N Engl J Med. 1982 Jan 14;306(2):113–113. doi: 10.1056/NEJM198201143060224. [DOI] [PubMed] [Google Scholar]