Fitz‐Hugh–Curtis syndrome: a diagnostic challenge

Abstract

Key Clinical MessageDiagnosis of Fitz‐Hugh–Curtis is challenging due to its rarity and its similar presentation to common intra‐abdominal conditions, such as cholecystitis or appendicitis. In our case, the adherent cecal and omental mass felt on examination were thought to be an appendiceal mass secondary to perforation, hence the patient underwent a diagnostic laparoscopy.

Clinical Significance of Hepatic Capsular Enhancement in Multi-Directional Computed Tomography with Fitz-Hugh-Curtis Syndrome

“…If sexually active women presenting with right upper quadrant (RUQ) abdominal pain visit a hospital, FHCS could be considered [2][3][4][5]. Although the accurate incidence of FHCS is currently unknown, the incidence of PID has been estimated to be 4% to 14% while that of PID in adolescent females can be as high as 27% [1,6,7].…”

“…Classical standard diagnosis of FHCS needs invasive procedures such as laparoscopy or laparotomy with detection of fibrous adhesion or identification of Neisseria gonorrhoeae or Chlamydia trachomatis in a specimen acquired from a capsular lesion of the liver [8][9][10][11]. However, for most cases, this syndrome can be well controlled by antibiotics [1][2][3][4]12]. Therefore, it is mostly diagnosed by non-invasive methods in recent years [13].…”