Difference between revisions of "Fitz-Hugh-Curtis syndrome"
Revision as of 06:10, 20 February 2015
Fitz-Hugh–Curtis syndrome' is a complication of Pelvic Inflammatory Disease (PID) named after Drs. Thomas Fitz-Hugh, Jr and Arthur Hale Curtis, which involves acute gonococcic peritonitis of the right upper qrant in women. Pain is caused by liver capsule inflammation. Since the disease is a peri-hepatitic, liver function tests will not be markedly elevated 
Sudden onset severe right upper quadrant abdominal pain, distal pleuritic component +/- radiation to the shoulder 
Aminotransferases usually normal or mildly elevated 
- Gallbladder disease
- Peptic ulcer disease with or without perforation
- Acute hepatitis
- Kidney stone
- Appendicitis (retrocecal)
- Pyogenic liver abscess
- Fitz-Hugh-Curtis Syndrome
- Hepatomegaly due to CHF
- Herpes zoster
- Myocardial ischemia
- Bowel obstruction
- Pulmonary embolism
- Abdominal aortic aneurysm
- Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.
- Peter, N. G.; Clark, L. R.; Jaeger, J. R. (2004). "Fitz-Hugh-Curtis syndrome: a diagnosis to consider in women with right upper quadrant pain". Cleveland Clinic journal of medicine 71 (3): 233–239. doi:10.3949/ccjm.71.3.233. PMID 15055246
- Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.