Ver el código de «Fitz-Hugh-Curtis syndrome»

==Background==
[[File:Perihepatic adhesions 2.jpg|thumbnail|"Violin string sign", adhesions between the liver and abdominal wall.]]
*A complication of [[Pelvic Inflammatory Disease]], involving acute [[gonococcal]] or [[chlamydia]] trachomatis peritonitis of the right upper quadrant in women
*Pain is caused by liver capsule inflammation leading to the creation of adhesions

==Clinical Features<ref name="multiple">Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref>==
*Sudden onset of severe [[right upper quadrant abdominal pain]]
*Distal pleuritic component +/- radiation to the shoulder
*May not have symptoms of PID

==Differential Diagnosis==
{{DDX RUQ}}

==Evaluation==
[[File:PMC4499951 jpts-27-1641-g003.png|thumb|CT abdomen (A–D = portal venous phase): A. Homogeneously thickened strip of enhancement (black arrow); B. Lesion in the right paracolic gutter area without exact anomaly density; C. Pelvic fat spaces with increased density, inhomogeneous enhancement, and visible rectal effusion (cross); D. Bilateral ovarian abscess (white arrow) and surrounding uterus effusion.]]
*Aminotransferases usually normal or mildly elevated <ref name="multiple">Livengood et al. Clinical features and diagnosis of pelvic inflammatory disease. Uptodate.</ref>
**Generally not markedly elevated <ref>Curtis AH. A cause of adhesion in the right upper quadrant.JAMA. 1930;94(16):1221-1222. doi:10.1001/jama.1930.02710420033012.</ref><ref>Peter, N. G.; Clark, L. R.; Jaeger, J. R. (2004). "Fitz-Hugh-Curtis syndrome: a diagnosis to consider in women with right upper quadrant pain". Cleveland Clinic journal of medicine 71 (3): 233–239. doi:10.3949/ccjm.71.3.233. PMID 15055246</ref>
*If CT obtained, may show inflammatory changes in pelvic and perihepatic regions
*Ultimately a diagnosis of exclusion with supporting evidence of gonorrhea or chlamydia

==Management==
*Fully treat [[pelvic inflammatory disease]]

==Disposition==
*Admission criteria same for [[PID]]
**Pregnancy
**Toxic, systemic symptoms
**Poor compliance
**Failure of outpatient therapy
**[[Tubo-ovarian abscess]]

==See Also==
*[[PID]]

==References==
<references/>

[[Category:OBGYN]]