Fitz-Hugh-Curtis syndrome: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
Sudden onset severe right upper quadrant abdominal pain, distal pleuritic component +/- radiation to the shoulder <ref>Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref> | Sudden onset severe right upper quadrant abdominal pain, distal pleuritic component +/- radiation to the shoulder <ref name="multiple">Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref> | ||
==Investigations== | ==Investigations== | ||
Revision as of 04:49, 20 February 2015
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 [4]
Differential Diagnosis
RUQ Pain
- Gallbladder disease
- Pancreatitis
- Acute hepatitis
- Pancreatitis
- GERD
- Appendicitis (retrocecal)
- Pyogenic liver abscess
- Bowel obstruction
- Cirrhosis
- Budd-Chiari syndrome
- GU
- Other
- Hepatomegaly due to CHF
- Peptic ulcer disease with or without perforation
- Pneumonia
- Herpes zoster
- Myocardial ischemia
- Pulmonary embolism
- Abdominal aortic aneurysm
Management
Sources
- ↑ Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.
- ↑ 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
- ↑ Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.
- ↑ Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.