An atypical presentation of the Fitz-Hugh-Curtis syndrome.
We present an unusual case of the Fitz-Hugh-Curtis syndrome as manifested in a young woman with right upper quadrant pain. The presentation was atypical and misleading because of the presence of a colonic ileus and the lack of salpingitis by pelvic exam. Diagnosis was made by exclusion of other abdominal disease processes, the detection of Chlamydia trachomatis antibody from a cervical specimen, and a dramatic response to appropriate antibiotic therapy.
McCormick
M
M
Department of Medicine, Northwestern University Medical School, Chicago.
DelCastillo
J
J
Berk
R S
RS
D015746:Abdominal Pain / Q000175:diagnosis*; D000328:Adult; D002690:Chlamydia Infections / Q000150:complications / Q000175:diagnosis*; D002692:Chlamydia trachomatis / Q000302:isolation & purification; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D005260:Female; D006505:Hepatitis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications; D011860:Radiography, Abdominal