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Fitz-Hugh-Curtis syndrome in a man positive for Chlamydia trachomatis

Kazuhide Takata1, Hiromi Fukuda2, Kaoru Umeda2

  • 1Department of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan, Fukuoka, 814-0180, Japan. edihuzak_t@yahoo.co.jp.

Clinical Journal of Gastroenterology
|February 9, 2018
PubMed

Insights

Fitz-Hugh-Curtis syndrome (FHCS), typically seen in women, can affect men. This case highlights Chlamydia trachomatis as a cause of FHCS in a 50-year-old man presenting with abdominal pain.

Area of Science:

  • Gastroenterology and Hepatology
  • Infectious Diseases
  • Urology

Background:

  • Fitz-Hugh-Curtis syndrome (FHCS) classically involves perihepatic and pelvic inflammation, predominantly affecting women of reproductive age.
  • The syndrome is often associated with pelvic inflammatory disease (PID) and sexually transmitted infections.

Observation:

  • A 50-year-old male presented with acute right upper quadrant abdominal pain.
  • Enhanced computed tomography (CT) revealed perihepatic and pelvic free fluid and characteristic early-phase hepatic capsular enhancement.
  • Urinalysis confirmed the presence of Chlamydia trachomatis.

Findings:

  • The patient was diagnosed with Fitz-Hugh-Curtis syndrome secondary to Chlamydia trachomatis infection.
  • This case demonstrates a rare presentation of FHCS in an adult male.

Implications:

  • FHCS should be considered in the differential diagnosis of men presenting with right upper quadrant abdominal pain, even without apparent biliary pathology.
  • This case underscores the importance of considering Chlamydia trachomatis in male patients with symptoms suggestive of FHCS.
  • Early diagnosis and treatment are crucial to prevent complications associated with FHCS.

Keywords:
Chlamydia trachomatisFitz–Hugh–Curtis syndromeManPerihepatitis

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