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Clinical communication| Volume 8, ISSUE 1, P55-58, January 1990

An atypical presentation of the Fitz-Hugh-Curtis syndrome

DOI:https://doi.org/10.1016/0736-4679(90)90388-C
An atypical presentation of the Fitz-Hugh-Curtis syndrome
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      Abstract

      We present an unusual case of the FitzHugh-Curtis syndrome as manifested in a young woman with right upper quadrant pain. The presentation was atypical and misleading because of the presence of a colonic ileus and the lack of salpingitis by pelvic exam. Diagnosis was made by exclusion of other abdominal disease processes, the detection of Chlamydia trachomatis antibody from a cervical specimen, and a dramatic response to appropriate antibiotic therapy.

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      References

        • Perlman P.E.
        • Mills R.L.
        Fitz-Hugh-Curtis syndrome.
        Am Fam Prac. 1987; 36: 162-164
        • Curtis A.H.
        A cause of adhesions in the right upper quadrant.
        JAMA. 1930; 94: 1221-1222
        • Fitz-Hugh T.
        Acute gonococcic peritonitis of the right upper quadrant in women.
        JAMA. 1934; 102: 2094-2096
        • Eschenbach D.A.
        Pelvic infections.
        in: Danforth D.N. Scott J.R. Obstetrics and gynecology. 5th ed. JB Lippincott, Philadelphia1986: 990
        • Muller-Schoop J.W.
        • Wang S.P.
        • Munzinger J.
        • Schlaper H.U.
        • Knoblauch M.
        • Ammann R.W.
        Chlamydia trachomatis as possible cause of peritonitis and perihepatitis in young women.
        Br Med J. 1978; 1: 1022-1024
        • Paavonen J.
        • Saikku P.
        • von Knorring J.
        Association of infection with Chlamydia trachomatis with Fitz-Hugh-Curtis syndrome.
        J Infect Dis. 1981; 144: 176
        • Wang S.P.
        • Eschenbach D.A.
        • Holmes K.K.
        • Wager G.
        • Grayston J.T.
        Chlamydia trachomatis infection in Fitz-Hugh-Curtis syndrome.
        Am J Obstet Gynecol. 1980; 138: 1034-1038
        • Wolner-Hanssen P.
        • Svensson L.
        • Westrom L.
        • Mardh P.A.
        Isolation of Chlamydia trachomatis from the liver capsule in Fitz-Hugh-Curtis syndrome.
        N Engl J Med. 1982; 306: 113
        • Shanahan D.
        • Gau D.
        Chlamydial Fitz-Hugh-Curtis syndrome.
        Lancet. 1986; 1: 1216
        • Wolner-Hanssen P.
        • Westrom L.
        • Mardh P.A.
        Perihepatitis and chlamydial salpingitis.
        Lancet. 1980; 1: 901-903
        • Wood J.J.
        • Bolton J.P.
        • Cannon S.R.
        • Allan A.
        • O'Connor B.H.
        • Darougar S.
        Biliary-type pain as a manifestation of genital tract infection: the Curtis-Fitz-Hugh syndrome.
        Br J Surg. 1982; 69: 251-253
        • Gatt D.
        • Jantet G.
        Perisplenitis and perinephritis in the CurtisFitz-Hugh syndrome.
        Br J Surg. 1987; 74: 110-112
        • Marbet U.A.
        • Stalder G.A.
        • Vogtlin J.
        • et al.
        Diffuse peritonitis and chronic ascites due to infection with Chlamydia trachomatis in patients without liver disease: new presentation of the Fitz-Hugh-Curtis syndrome.
        Br Med J. 1986; 293: 5-6
        • Fraiz J.
        • Jones R.G.
        Chlamydial infections.
        Annual Rev of Med. 1988; 39: 357-370
        • Haight J.B.
        • Ockner S.A.
        Chlamydia trachomatis perihepatitis with ascites.
        Am J Gastroenterol. 1988; 83: 323-325

      Article info

      Publication history

      Accepted: June 2, 1989
      Received in revised form: May 16, 1989
      Received: March 13, 1989

      Identification

      DOI: https://doi.org/10.1016/0736-4679(90)90388-C

      Copyright

      © 1990 Published by Elsevier Inc.

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