Fitz-Hugh-Curtis Syndrome: A Diagnosis to Consider in a Woman with Right Upper Quadrant Abdominal Pain without Gallstones

  • Pietro Benedetto Faré Internal Medicine Department, Ospedale La Carità, Locarno, Switzerland
  • Ileana Allio Internal Medicine Department, Ospedale La Carità, Locarno, Switzerland
  • Rita Monotti Internal Medicine Department, Ospedale La Carità, Locarno, Switzerland
  • Fabrizio Foieni Internal Medicine Department, Ospedale La Carità, Locarno, Switzerland

Abstract

A young woman presented with right upper quadrant abdominal pain exacerbated by movement and breathing. Extensive evaluation revealed no gallstones or any other specific cause. Urine polymerase chain reaction results for Chlamydia trachomatis were positive, so the clinical diagnosis of Fitz-Hugh-Curtis syndrome was confirmed. This type of localized peritonitis is thought to be a complication of an ascending genital infection leading to pelvic inflammatory disease. The diagnosis is established on clinical grounds after excluding alternative, more common conditions. Proper antibiotic treatment usually leads to recovery and prevents long-term complications.

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  • Published: 2017-12-05

    Issue: Vol 5 No 2 (view)

    Section: Articles

    How to cite:
    Faré, P., Allio, I., Monotti, R., & Foieni, F. (2017). Fitz-Hugh-Curtis Syndrome: A Diagnosis to Consider in a Woman with Right Upper Quadrant Abdominal Pain without Gallstones. European Journal of Case Reports in Internal Medicine, 5(2). https://doi.org/https://doi.org/10.12890/2017_000743