Fitz-Hugh-Curtis Syndrome in A 15-year-old Adolescent with Right Upper Quadrant Abdominal Pain : Case Report

Abstract

Fitz-Hugh-Curtis syndrome (FHCS) is a perihepatic infectious disease, first described by Thomas Fitz Hugh and Arthur Curtis in 1930, that occurs in patients with pelvic inflammatory disease. FHCS is characterized by liver capsular inflammation without direct hepatic invasion, most commonly caused by Neisseria gonorrhea and Chlamydia trachomatis. The pathogens can be directly identified from exudates obtained by laparotomy or laparoscopy during the acute stage. Finding of a distinctive violin string-like pattern of perihepatic adhesions during the chronic stage aids in the diagnosis. Recently, the use of arterial-phase computed tomography (CT) scanning has enabled management of FHCS with antibiotics without the need of invasive procedures. Here, a 15-year-old adolescent presenting with right upper quadrant abdominal pain and FHCS is reported.