Fitz-Hugh-Curtis syndrome

Revision as of 04:46, 20 February 2015 by Hkm91450 (talk | contribs) (ref)

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 [3]

Investigations

Aminotransferases usually normal or mildly elevated

Differential Diagnosis

RUQ Pain

Management

Sources

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