Ekabe Cyril Jabea, Kehbila Jules, Njim Tsi, Kadia Benjamin Momo, Tendonge Celestine Ntemlefack, Monekosso Gottlieb Lobe
Department of Medicine, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Grace Community Health and Development Association (GRACHADA), Kumba, Cameroon.
BMC Res Notes. 2017 Jan 3;10(1):10. doi: 10.1186/s13104-016-2357-z.
Fitz-Hugh-Curtis syndrome is defined as perihepatitis associated with pelvic inflammatory disease. Chlamydia trachomatis is one of its most common aetiologies. This syndrome usually presents with right upper quadrant abdominal pain mimicking other hepatobiliary and gastrointestinal pathologies, hence, posing a diagnostic dilemma in settings with limited diagnostic tools.
A 32 year old African female presented with acute right upper quadrant abdominal pain and vaginal discharge, for which she had previously received treatment in another health center with no improvement. Clinical and laboratory findings were suggestive of Fitz-Hugh-Curtis syndrome. Five days after treatment with oral doxycycline, the patient showed marked clinical improvement.
Fitz-Hugh-Curtis syndrome is a common cause of right upper quadrant pain which is often under diagnosed in poor communities. Hence, it should be included as a differential diagnosis in patients presenting with right upper quadrant pain, especially in females of reproductive age.
菲茨-休-柯蒂斯综合征被定义为与盆腔炎相关的肝周炎。沙眼衣原体是其最常见的病因之一。该综合征通常表现为右上腹疼痛，类似于其他肝胆和胃肠道疾病，因此，在诊断工具有限的情况下会造成诊断难题。
一名32岁的非洲女性出现急性右上腹疼痛和阴道分泌物，她之前在另一家医疗中心接受过治疗，但没有改善。临床和实验室检查结果提示为菲茨-休-柯蒂斯综合征。口服强力霉素治疗五天后，患者临床症状明显改善。
菲茨-休-柯蒂斯综合征是右上腹疼痛的常见原因，在贫困社区往往诊断不足。因此，对于出现右上腹疼痛的患者，尤其是育龄女性，应将其列为鉴别诊断之一。
