Difference between revisions of "Fitz-Hugh-Curtis syndrome"

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==Diagnosis==
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==Evaluation==
 
*Aminotransferases usually normal or mildly elevated <ref name="multiple">Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref>
 
*Aminotransferases usually normal or mildly elevated <ref name="multiple">Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref>
 
**Generally not markedly elevated <ref>Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.</ref><ref>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</ref>
 
**Generally not markedly elevated <ref>Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.</ref><ref>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</ref>

Revision as of 02:35, 22 July 2016

Background

"Violin string sign", adhesions between the liver and abdominal wall.

Clinical Features[1]

Differential Diagnosis

RUQ Pain

Evaluation

  • Aminotransferases usually normal or mildly elevated [1]
    • Generally not markedly elevated [2][3]
  • If CT obtained, may show inflammatory changes in pelvic and perihepatic regions
  • Ultimately a diagnosis of exclusion with supporting evidence of gonorrhea or chlamydia

Management

Disposition

References

  1. 1.0 1.1 Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.
  2. Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.
  3. 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