Case 338:   Fitz-Hugh-Curtis Syndrome

Diagnostic Category:

Clinical Presentation:

21 year old woman with prior history of Chlamydia and UTI presenting with leukocytosis and abdominal pain.

US: Signs of perihepatitis

Imaging Findings:

Abdominal ultrasound shows marked gallbladder wall edema and ascites. This patient has history of prior chlamydial infection and abdominal pain. Given history, Fitz-Hugh-Curtis syndrome was present, which consists of peritoneal extension from chlamydial or gonococcal infection, leading to adhesions, complicated ascites, perihepatitis and gallbladder wall edema. Note that classic fibrinous strings within the peritoneal cavity are not present in this patient.