Fitz-Hugh-Curtis syndrome: a case study of a frequently missed diagnosis
Abstract Introduction Fitz-Hugh-Curtis syndrome (FHCS) is a relatively common complication of pelvic inflammatory disease. However, this diagnosis is frequently overlooked due to its nonspecific symptomatology that often mimics hepatobiliary disorders. This report presents a case of FHCS and offers...
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| Format: | Article |
| Language: | English |
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Springer
2025-01-01
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| Series: | Journal of Rare Diseases |
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| Online Access: | https://doi.org/10.1007/s44162-024-00063-w |
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| author | Zephania D. P. Gega Henry I. Lyimo Daniel W. Kitua Ally H. Mwanga |
| author_facet | Zephania D. P. Gega Henry I. Lyimo Daniel W. Kitua Ally H. Mwanga |
| author_sort | Zephania D. P. Gega |
| collection | DOAJ |
| description | Abstract Introduction Fitz-Hugh-Curtis syndrome (FHCS) is a relatively common complication of pelvic inflammatory disease. However, this diagnosis is frequently overlooked due to its nonspecific symptomatology that often mimics hepatobiliary disorders. This report presents a case of FHCS and offers a review of pertinent clinical considerations. Case We describe a case of a 33-year-old sexually active female previously treated for vaginal discharge syndrome, who presented to our facility with worsening right upper quadrant pain. Initial laboratory and imaging findings were inconclusive. However, diagnostic laparoscopy revealed perihepatic “violin string” adhesions consistent with FHCS. Conclusion This case underscores the importance of considering FHCS in the differential diagnosis of right upper quadrant pain, especially in individuals with a history of pelvic inflammatory disease. Awareness of this syndrome and its clinical manifestations is crucial for prompt diagnosis and appropriate management. |
| format | Article |
| id | doaj-art-0bf1244226394e2686517dc8cd0d9f10 |
| institution | Kabale University |
| issn | 2731-085X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Springer |
| record_format | Article |
| series | Journal of Rare Diseases |
| spelling | doaj-art-0bf1244226394e2686517dc8cd0d9f102025-01-05T12:49:54ZengSpringerJournal of Rare Diseases2731-085X2025-01-01411410.1007/s44162-024-00063-wFitz-Hugh-Curtis syndrome: a case study of a frequently missed diagnosisZephania D. P. Gega0Henry I. Lyimo1Daniel W. Kitua2Ally H. Mwanga3Department of Surgery, Ocean Road Cancer InstituteDepartment of Surgery, Muhimbili University of Health and Allied SciencesDepartment of Surgery, Muhimbili University of Health and Allied SciencesDepartment of Surgery, Muhimbili University of Health and Allied SciencesAbstract Introduction Fitz-Hugh-Curtis syndrome (FHCS) is a relatively common complication of pelvic inflammatory disease. However, this diagnosis is frequently overlooked due to its nonspecific symptomatology that often mimics hepatobiliary disorders. This report presents a case of FHCS and offers a review of pertinent clinical considerations. Case We describe a case of a 33-year-old sexually active female previously treated for vaginal discharge syndrome, who presented to our facility with worsening right upper quadrant pain. Initial laboratory and imaging findings were inconclusive. However, diagnostic laparoscopy revealed perihepatic “violin string” adhesions consistent with FHCS. Conclusion This case underscores the importance of considering FHCS in the differential diagnosis of right upper quadrant pain, especially in individuals with a history of pelvic inflammatory disease. Awareness of this syndrome and its clinical manifestations is crucial for prompt diagnosis and appropriate management.https://doi.org/10.1007/s44162-024-00063-wDiagnostic laparoscopyFitz-Hugh-Curtis syndromePelvic inflammatory diseasesViolin string adhesions |
| spellingShingle | Zephania D. P. Gega Henry I. Lyimo Daniel W. Kitua Ally H. Mwanga Fitz-Hugh-Curtis syndrome: a case study of a frequently missed diagnosis Journal of Rare Diseases Diagnostic laparoscopy Fitz-Hugh-Curtis syndrome Pelvic inflammatory diseases Violin string adhesions |
| title | Fitz-Hugh-Curtis syndrome: a case study of a frequently missed diagnosis |
| title_full | Fitz-Hugh-Curtis syndrome: a case study of a frequently missed diagnosis |
| title_fullStr | Fitz-Hugh-Curtis syndrome: a case study of a frequently missed diagnosis |
| title_full_unstemmed | Fitz-Hugh-Curtis syndrome: a case study of a frequently missed diagnosis |
| title_short | Fitz-Hugh-Curtis syndrome: a case study of a frequently missed diagnosis |
| title_sort | fitz hugh curtis syndrome a case study of a frequently missed diagnosis |
| topic | Diagnostic laparoscopy Fitz-Hugh-Curtis syndrome Pelvic inflammatory diseases Violin string adhesions |
| url | https://doi.org/10.1007/s44162-024-00063-w |
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