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Case Studies | Nursing | India | Volume 11 Issue 12, December 2022

Fitz-Hugh-Curtis Syndrome

Sruthi TK

Abstract: Fitz-Hugh?Curtis syndrome is a rare complication of pelvic inflammatory disease (PID) involving liver capsule inflammation leading to the creation of adhesions. The condition is named after the two physicians, Thomas Fitz-Hugh, Jr and Arthur Hale Curtis who. It also known as "gonococcal perihepatitis" or "perihepatitis syndrome." Most cases of Fitz-Hugh-Curtis syndrome are caused by infection with the bacterium Chlamydia trachomatis and Neisseria gonorrhoeae. Fitz-Hugh-Curtis syndrome is marked by an acute onset of right upper quadrant (RUQ) abdominal pain aggravated by breathing, coughing or laughing, which may be referred to the right shoulder. CT of the abdomen with IV contrast may show subtle enhancement of the liver capsule. Testing for gonorrhoea and chlamydia should be performed to make the diagnosis. Treatment involves a course of antibiotics to cover the appropriate organisms, typically ceftriaxone plus azithromycin. Laparoscopy for lysis of adhesions may be performed for refractory pain.

Keywords: Fitz-Hugh?Curtis syndrome, gonococcal perihepatitis, perihepatitis syndrome, gonorrhoea, guitar string, Gardnerella, peritoneal carcinomatosis

Edition: Volume 11 Issue 12, December 2022,

Pages: 804 - 806