Definition:
Fitz-Hugh-Curtis syndrome is characterized by pain that is typically felt on the right upper quadrant that is a result of an ascending infection of the pelvis and inflammation of the diaphragm or liver capsule. This medical condition is typically associated with another disease called acute salpingitis and usually mimics typical abdominal emergencies. Since there are a number of possibilities that may be associated with the symptoms of this disease, proper diagnosis is required to rule out other possibilities.
Diagnosis:
Diagnosis usually involves cervical cultures for possibility of Chlamydia and gonorrhea, urine culture and urinalysis and stool guaiac. Ultrasonography may be also conducted to help eliminate the possibility of other underlying medical complications.
Treatment:
Medications include antibiotics as part of the therapy, as well as the other treatments for PID. Condition may allow out-patient setting unless when pregnancy, suffering from difficulty in oral intake, and tubo-ovarian abscess. Surgical procedures will involve laparoscopy.
Symptoms and Signs:
Fitz-Hugh-Curtis syndrome is often an extrapelvic manifestation of PID or pelvic inflammatory disease. Common symptoms include excruciating pain usually felt on the gallbladder area, pain on the right shoulder, occasional nausea, night sweats, fever and general malaise.
Causes:
FHC is known to be caused by an infection with C trachomatis or N gonorrhoeae.
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