Fitz-Hugh-Curtis syndrome with right shoulder pain

A 24-year-old woman presented with right shoulder pain that started 6 days prior. Three days ago, she developed right upper quadrant abdominal pain. These pains worsened during deep inspiration and right lateral recumbent position. The right shoulder pain was localised to the trapezius ridge. Her last menstrual period was 14 days ago, and her last sexual intercourse was 6 weeks prior to the symptom onset. Physical examination revealed tenderness in the right upper abdominal quadrant with neither rebound tenderness nor pain in her right shoulder joint on passive motion. Hepatic capsular enhancement was seen in the early phase of the abdominopelvic contrast-enhanced computed tomography (figure 1). A PCR test of cervical mucus was positive for Chlamydia trachomatis. Fitz-Hugh-Curtis syndrome (FHCS) was diagnosed, and her symptoms disappeared after 1 week of antimicrobial treatment with minocycline hydrochloride (200 mg/day). FHCS is characterised by liver capsule inflammation associated with genital tract infection caused by...
Source: Postgraduate Medical Journal - Category: General Medicine Authors: Tags: Images Source Type: research