Snapshot quiz 19/1

Published: 02/06/2019

Authors: Moreira de Azevedo J, Cardoso Louro H and Azevedo Ferreira A

Fitz–Hugh–Curtis Syndrome is a rare consequence of pelvic inflammatory disease. Its major symptom is right upper quadrant pain, accompanied in some cases by tenderness on palpation as a result of inflammation of Glisson’s capsule of the liver. The pelvis usually remains without signs or symptoms of infection. The main pathogens are Chlamydia trachomatis or Neisseria gonorrhoeae. An ultrasound examination is usually normal, but CT may show enhancement of the liver capsule. The diagnosis can be made with bacterial tests. When a laparoscopy is performed it may reveal violin string adhesions, resulting from perihepatitis.