Fitz-Hugh-Curtis syndrome

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Fitz-Hugh-Curtis syndrome is a rare complication of pelvic inflammatory disease (PID) named after the two physicians, Fitz-Hugh and Curtis who first reported this condition in 1934 and 1930 respectively.

Fitz-Hugh-Curtis syndrome is usually caused by gonorrhoea (acute gonococcal perihepatitis) or chlamydia bacteria, which cause a thinning of cervical mucous and allow bacteria from the vagina into the uterus and oviducts, causing infection and inflammation. Occasionally, this inflammation can affect Glisson's capsule, a thin layer of connective tissue surrounding the liver.

The signs are an acute onset, upper right-quadrant abdominal pain and tenderness aggravated by breathing, coughing or movement, and referred to the right shoulder following an episode of PID. Laparoscopy may reveal "violin string" adhesions.

Treatment involves diagnosing and treating the underlying cause correctly. The adhesions can be cut laparoscopically.

References

• Curtis AH. A cause of adhesion in the right upper quadrant. JAMA 1930;94:1221-122.
• Fitz-Hugh Jr T. Acute gonococcic peritonitis of the right upper quadrant in women. J Am Med Assoc 1934;102:2094-2096.

External links

• On the eponym
• chlamydiae.com description of Perihepatitis

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Articles on Fitz-Hugh-Curtis syndrome	Most recent articles on Fitz-Hugh-Curtis syndrome • Most cited articles on Fitz-Hugh-Curtis syndrome • Review articles on Fitz-Hugh-Curtis syndrome • Articles on Fitz-Hugh-Curtis syndrome in N Eng J Med, Lancet, BMJ
Media (Slides, Video, Images, MP3) on Fitz-Hugh-Curtis syndrome	Powerpoint slides on Fitz-Hugh-Curtis syndrome • Images of Fitz-Hugh-Curtis syndrome • Photos of Fitz-Hugh-Curtis syndrome • Podcasts & MP3s on Fitz-Hugh-Curtis syndrome • Videos on Fitz-Hugh-Curtis syndrome
Evidence Based Medicine Regarding Fitz-Hugh-Curtis syndrome	Cochrane Collaboration on Fitz-Hugh-Curtis syndrome • Bandolier on Fitz-Hugh-Curtis syndrome • TRIP on Fitz-Hugh-Curtis syndrome
Cost Effectiveness of Fitz-Hugh-Curtis syndrome	Cost Effectiveness of Fitz-Hugh-Curtis syndrome
Clinical Trials Involving Fitz-Hugh-Curtis syndrome	Ongoing Trials on Fitz-Hugh-Curtis syndrome at Clinical Trials.gov • Trial results on Fitz-Hugh-Curtis syndrome • Clinical Trials on Fitz-Hugh-Curtis syndrome at Google
Guidelines / Policies / Government Resources (FDA/CDC) Regarding Fitz-Hugh-Curtis syndrome	US National Guidelines Clearinghouse on Fitz-Hugh-Curtis syndrome • NICE Guidance on Fitz-Hugh-Curtis syndrome • NHS PRODIGY Guidance • FDA on Fitz-Hugh-Curtis syndrome • CDC on Fitz-Hugh-Curtis syndrome
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Healthcare Provider Resources on Fitz-Hugh-Curtis syndrome	Symptoms of Fitz-Hugh-Curtis syndrome • Causes & Risk Factors for Fitz-Hugh-Curtis syndrome • Diagnostic studies for Fitz-Hugh-Curtis syndrome • Treatment of Fitz-Hugh-Curtis syndrome
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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .