J Korean Acad Fam Med.  2008 Feb;29(2):134-139.

A Case Report of Fitz-Hugh-Curtis Syndrome due to Chlamydia in 19-year-old Woman

• Yim G
• Park CM
• Yoo BW
• Hong SH
• Cho CY

Abstract

Fitz-Hugh-Curtis syndrome (FHCS)-inflammation of the liver capsule (Perihepatitis) associated with genital tract infection-occurs in 4~14% of patients with pelvic inflammatory disease (PID). Generally presenting as sharp, pleuritic right upper quadrant pain, usually but not always accompanied by signs of salpingitis. It needs differential diagnosis such as cholecystitis, pyelonephritis. The pathogenesis of FHCS is incompletely understood. But Neisseria gonorrhoeae and Chlamydia trachomatis are thought to be the primary causative germs of FHCS. We make a report about FHCS in 19-year-old woman who had been sexual history recently.

Keyword

Fitz-Hugh-Curtis syndrome (FHCS); Perihepatitis; Pelvic inflammatory disease (PID); Neisseria gonorrhoeae; Chlamydia trachomatis

MeSH Terms

Chlamydia
Chlamydia Infections
Chlamydia trachomatis
Cholecystitis
Diagnosis, Differential
Female
Hepatitis
Humans
Liver
Neisseria gonorrhoeae
Pelvic Inflammatory Disease
Peritonitis
Pyelonephritis
Salpingitis
Young Adult
Chlamydia Infections
Hepatitis
Pelvic Inflammatory Disease
Peritonitis