A Diagnosis Not to Miss: A Case of Fitz-Hugh-Curtis Syndrome

Table 1

Common features of Fitz-Hugh-Curtis syndrome, including symptoms, laboratory values, and radiographic findings [1].

Features of Fitz-Hugh-Curtis syndrome
Common presenting symptoms	Constitutional symptoms: Fevers, chills
	Gastroenterological symptoms: Right upper quadrant abdominal pain, nausea, vomiting
	Genitourinary symptoms: Vaginal or penile discharge, lower abdominal pain
Laboratory values	Leukocytosis, however, only to a clinically significant value in 50% of patients
	Normal to slightly elevated liver enzyme values
	Positive chlamydia or gonorrhea test
Radiographic findings	Computerized tomography with increased perihepatic enhancement, pelvic fat infiltration, tubo-ovarian abscess, and fluid collection in the pelvic cavity
	Transvaginal ultrasound suggestive of pelvic inflammatory disease hydrosalpinx, pyosalpinx endometritis, tubo-ovarian abscess, oophoritis, and ectopic pregnancy