Fitz-Hugh-Curtis syndrome mimicking acute biliary disease: A case report

Abstract

Fitz-Hugh-Curtis syndrome (FHCS) is a perihepatitis that results from the intraperitoneal extension of pelvic inflammatory disease (PID) and classically occurs in reproductive-aged women with sexual activity. This syndrome usually presents with right upper quadrant (RUQ) abdominal pain together with lower abdominal pain and vaginal discharge. However, some patients may present with isolated RUQ abdominal pain mimicking other hepatobiliary pathologies and posing a diagnostic challenge to many physicians. Resumen: El síndrome de Fitz-Hugh-Curtis (SFHC) es una perihepatitis secundaria a la extensión intraperitoneal de una enfermedad inflamatoria pélvica (EPI), que habitualmente afecta a mujeres sexualmente activas. Generalmente se presenta con dolor abdominal en hipocondrio derecho (HD) junto con dolor en hipogastrio y aumento de flujo vaginal. No obstante, algunos pacientes pueden presentar dolor en HD de forma aislada, simulando otras enfermedades hepatobiliares, lo cual supone un verdadero reto diagnóstico para muchos especialistas. Keywords: Fitz-Hugh-Curtis syndrome, Pelvic inflammatory disease, RUQ abdominal pain, Cholangitis, Palabras clave: Síndrome de Fitz-Hugh-Curtis, Enfermedad Inflamatoria Pélvica, Dolor en hipocondrio derecho, Colangitis