Difference between revisions of "Fitz-Hugh-Curtis syndrome"
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==Background== | ==Background== | ||
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 <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> | 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 <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> | ||
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| + | ==Clinical Features== | ||
| + | Sudden onset severe right upper quadrant abdominal pain, distal pleuritic component +/- radiation to the shoulder | ||
| + | |||
| + | ==Investigations== | ||
| + | Aminotransferases usually normal or mildly elevated | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 04:39, 20 February 2015
Contents
Background
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 [1][2]
Clinical Features
Sudden onset severe right upper quadrant abdominal pain, distal pleuritic component +/- radiation to the shoulder
Investigations
Aminotransferases usually normal or mildly elevated
Differential Diagnosis
RUQ Pain
- Gallbladder disease
- Peptic ulcer disease with or without perforation
- Pancreatitis
- Acute hepatitis
- Pyelonephritis
- Pneumonia
- Kidney stone
- Pancreatitis
- GERD
- Appendicitis (retrocecal)
- Pyogenic liver abscess
- Fitz-Hugh-Curtis Syndrome
- Hepatomegaly due to CHF
- Herpes zoster
- Myocardial ischemia
- Bowel obstruction
- Pulmonary embolism
- Abdominal aortic aneurysm
Management
Sources
- ↑ 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