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Fitz-Hugh-Curtis Syndrome

more about Fitz-Hugh-Curtis Syndrome


Acute gonococcal perihepatitis



  • This is a disorder that develops adhesions between the liver and the diaphragm in females, as a result of complications of pelvic inflammatory disease.

  • Right upper abdominal pain referred to the right shoulder
  • Friction rub over the liver
  • Fatigue
  • Loss of appetite
  • Weight loss

  • 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.

  • Based on symptoms and physical examination
  • Laparoscopy shows many adhesion bands between the liver and the diaphragm.

  • For gonorrhea infection: cefoxitin, cefotetan, clindamycin+gentamicin, cefoxitin+oral Doxycycline
  • For chlamydia infections: doxycycline or azithromycin




more about Fitz-Hugh-Curtis Syndrome


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