Fitz-Hugh-Curtis syndrome: Difference between revisions

Revision as of 06:12, 20 February 2015

A complication of Pelvic Inflammatory Disease, involving acute gonococcal peritonitis of the right upper quadrant in women
Pain is caused by liver capsule inflammation

Sudden onset severe right upper quadrant abdominal pain, distal pleuritic component +/- radiation to the shoulder ^[1]

Aminotransferases usually normal or mildly elevated ^[1]

↑ ^1.0 ^1.1 Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.

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 ==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 q&shy;rant 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>
+*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==