Fitz Hugh Curtis Syndrome

Fitz Hugh Curtis syndrome is a sequela of pelvic infection

Pathophysiology of Fitz Hugh Curtis Syndrome

1) in women, fibrous adhesions running from the anterior surface of the liver to the parietal peritoneum 2) cause is retrograde spread of pelvic infection 3) associated organisms are gonococcal and Chlamydia trachomatis

Signs and Symptoms

1) tenderness and pain in the right upper quadrant 2) friction rub

Characteristic Test Findings

Laboratory – 1) elevated transaminases 2) increased titers of antibodies to C. trachomatis

Histology/Gross Pathology

Fitz Hugh Curtis syndrome is marked by fibrous adhesions from liver capsule to peritoneum and abdominal wall

Associated Conditions

salpingitis

Inheritance/Epidemiology

originally described as sequelae of gonococcal infection 2) now 75% of cases are C. trachomatis