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Fitz-Hugh-Curtis Syndrome
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Acute gonococcal perihepatitis
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- This is a disorder that develops adhesions between the liver and the diaphragm in females, as a result of complications of pelvic inflammatory disease.
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- Right upper abdominal pain referred to the right shoulder
- Friction rub over the liver
- Fatigue
- Loss of appetite
- Weight loss
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- It is caused by perihepatitis occurring as a complication of gonorrhea or chlamydial infection in the pelvis, which travels up the right side of the abdomen to collect in the fluid above the liver.
- Perihepatitis is described as inflammation of the peritoneal (membrane) capsule of the liver and surrounding tissues.
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- Based on symptoms and physical examination
- Laparoscopy shows many adhesion bands between the liver and the diaphragm.
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- For gonorrhea infection: cefoxitin, cefotetan, clindamycin+gentamicin, cefoxitin+oral Doxycycline
- For chlamydia infections: doxycycline or azithromycin
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