Difference between revisions of "Fitz-Hugh-Curtis syndrome"

(Text replacement - "==Diagnosis==" to "==Evaluation==")
Line 22: Line 22:
*Admission criteria same for [[PID]]
**Toxic, systemic symptoms
**Poor compliance
**Failure of outpatient therapy
**[[Tubo-ovarian abscess]]

Revision as of 23:14, 6 October 2018


"Violin string sign", adhesions between the liver and abdominal wall.

Clinical Features[1]

Differential Diagnosis

RUQ Pain


  • Aminotransferases usually normal or mildly elevated [1]
    • Generally not markedly elevated [2][3]
  • If CT obtained, may show inflammatory changes in pelvic and perihepatic regions
  • Ultimately a diagnosis of exclusion with supporting evidence of gonorrhea or chlamydia



  • Admission criteria same for PID
    • Pregnancy
    • Toxic, systemic symptoms
    • Poor compliance
    • Failure of outpatient therapy
    • Tubo-ovarian abscess


  1. 1.0 1.1 Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.
  2. Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.
  3. 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