Fitz-Hugh-Curtis syndrome: Difference between revisions
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*Pain is caused by liver capsule inflammation | *Pain is caused by liver capsule inflammation | ||
==Clinical Features | ==Clinical Features<ref name="multiple">Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref>== | ||
*Sudden onset of severe [[right upper quadrant abdominal pain]] | |||
*Distal pleuritic component +/- radiation to the shoulder | |||
==Workup== | ==Workup== |
Revision as of 06:14, 20 February 2015
Background
- A complication of Pelvic Inflammatory Disease, involving acute gonococcal peritonitis of the right upper quadrant in women
- Pain is caused by liver capsule inflammation
Clinical Features[1]
- Sudden onset of severe right upper quadrant abdominal pain
- Distal pleuritic component +/- radiation to the shoulder
Workup
Differential Diagnosis
RUQ Pain
- Gallbladder disease
- Pancreatitis
- Acute hepatitis
- Pancreatitis
- GERD
- Appendicitis (retrocecal)
- Pyogenic liver abscess
- Bowel obstruction
- Cirrhosis
- Budd-Chiari syndrome
- GU
- Other
- Hepatomegaly due to CHF
- Peptic ulcer disease with or without perforation
- Pneumonia
- Herpes zoster
- Myocardial ischemia
- Pulmonary embolism
- Abdominal aortic aneurysm
Management
Sources
- ↑ 1.0 1.1 Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.
- ↑ 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