Fitz Hugh Curtis Syndrome in a Patient Presenting with Right Upper Quadrant Pain: A Case Report

Authors : Reyhan İrem Mutlu, Ayhan Özhasenekler

Pages : 133-135

Doi:10.54996/anatolianjem.1443395

View : 42 | Download : 79

Publication Date : 2024-09-28

Article Type : Other

Abstract :Aim: Fitz-Hugh-Curtis is a syndrome whose diagnosis may be missed because it is not a common condition and presents with non-specific right upper quadrant pain. In this article, we aimed to analyze the syndrome in a patient presenting with right upper quadrant pain and elevated liver function tests and to draw a road map for differentiation from other diagnoses. Case: A twenty-two-year-old female patient was admitted to the emergency department with right upper quadrant pain and fever. She was found to have elevated liver function test (LFT) in a previous hospital admission and was referred to us for further diagnosis and treatment. Her medical history revealed that her pain started 20 days ago. Physical examination revealed tenderness in the right upper quadrant. Ultrasonography and tomography showed a small amount of fluid in the perihepatic region and 10 cm of fluid in the Douglas cavity. No hepatic or biliary pathology was detected. Elevated LFT was detected in blood results. Since the patient was sexually active and described vaginal secretions, pelvic inflammatory disease was considered and she was consulted to the Gynecology and Obstetrics department. After hospitalization, antibiotherapy was started with piperacillin-tazobactam, but the drug was revised due to persistent pain and fever. Despite this, the patient remained symptomatic and laparoscopy was performed for both diagnosis and treatment. The patient was discharged on the 15th day of hospitalization with control recommendations. Conclusion: It is a syndrome that responds well to treatment when diagnosed. It should be considered in patients presenting to the emergency department with abdominal pain and elevated LFT when no liver pathology is found. When the diagnosis is suspected, consultation with the Gynecology and Obstetrics department is necessary for both identification of the causative agent and treatment arrangement. Screening tests for other sexually transmitted diseases should also be performed in patients with the diagnosis.
Keywords : Fitz-Hugh-Curtis sendromu, perihepatit sendromu, pelvik inflamatuar hastalık