Fitz-Hugh and Curtis syndrome
Gonococcal peritonitis of the upper abdomen in persons with a history of gonorrheal infection, often seen in in women during gonococcic pelvic inflammatory disease or chlamydial infection. Common clinical features consists of sudden onset of sharp pain in the rigth upper quadrant of the abdomen, fever, nausea, and vomiting. The pain is pleuritic in nature and may be referred to the right shoulder. In advanced stages, there may be violin-string adhesion between the anterior surface of the liver and the anterior abdominal wall. Onset in young women between 20 and 30 years of age. Since the advent of antiobiotic therapy this complication is less often encountered. It is now considered a historical term.
- C. Stajano:
La reactión frenica en ginecologica.
La semana médica, Buenos Aires, 1920, 27: 243-248.
- A. H. Curtis:
A cause of adhesion in the right upper quadrant.
Journal of the American Medical Association, Chicago, 1930, 94: 1221-122.
- T. Fitz-Hugh Jr:
Acute gonococcic peritonitis of the right upper quadrant in women.
Journal of the American Medical Association, Chicago, 1934, 102: 2094-2096.