The following is an excerpt....
BASICS
Description
- Fitz-Hugh-Curtis (FHC) is the syndrome (FHCS) of perihepatitis,
an inflammation of the liver capsule, associated with PID in the reproductive-aged
female.
- Characterized laparoscopically by “violin-string”
adhesions between the liver capsule and abdominal wall.
- Characterized clinically by acute or subacute onset of RUQ pain
at the time of genital tract infection (may be asymptomatic) with Chlamydia trachomatis or Neisseria Gonorrhea.
- RUQ pain can be persistent in the chronic phase of the disorder.
Age-Related Factors
- Rates of FHCS are higher among adolescent females than adult women
with PID.
- The higher rates among adolescents may be related to their immature
cervical ectropion (presence of columnar cells on the ectocervix), making
them biologically more susceptible to cervicitis ...
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