[HTML][HTML] Chlamydia trachomatis-induced Fitz-Hugh–Curtis syndrome: a case report
CJ Ekabe, J Kehbila, T Njim, BM Kadia… - BMC Research …, 2017 - Springer
CJ Ekabe, J Kehbila, T Njim, BM Kadia, CN Tendonge, GL Monekosso
BMC Research Notes, 2017•SpringerAbstract Background Fitz-Hugh–Curtis syndrome is defined as perihepatitis associated with
pelvic inflammatory disease. Chlamydia trachomatis is one of its most common aetiologies.
This syndrome usually presents with right upper quadrant abdominal pain mimicking other
hepatobiliary and gastrointestinal pathologies, hence, posing a diagnostic dilemma in
settings with limited diagnostic tools. Case report A 32 year old African female presented
with acute right upper quadrant abdominal pain and vaginal discharge, for which she had …
pelvic inflammatory disease. Chlamydia trachomatis is one of its most common aetiologies.
This syndrome usually presents with right upper quadrant abdominal pain mimicking other
hepatobiliary and gastrointestinal pathologies, hence, posing a diagnostic dilemma in
settings with limited diagnostic tools. Case report A 32 year old African female presented
with acute right upper quadrant abdominal pain and vaginal discharge, for which she had …
Background
Fitz-Hugh–Curtis syndrome is defined as perihepatitis associated with pelvic inflammatory disease. Chlamydia trachomatis is one of its most common aetiologies. This syndrome usually presents with right upper quadrant abdominal pain mimicking other hepatobiliary and gastrointestinal pathologies, hence, posing a diagnostic dilemma in settings with limited diagnostic tools.
Case report
A 32 year old African female presented with acute right upper quadrant abdominal pain and vaginal discharge, for which she had previously received treatment in another health center with no improvement. Clinical and laboratory findings were suggestive of Fitz-Hugh–Curtis syndrome. Five days after treatment with oral doxycycline, the patient showed marked clinical improvement.
Conclusion
Fitz-Hugh–Curtis syndrome is a common cause of right upper quadrant pain which is often under diagnosed in poor communities. Hence, it should be included as a differential diagnosis in patients presenting with right upper quadrant pain, especially in females of reproductive age.
Springer
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