Fitz-Hugh-Curtis syndrome: a diagnostic challenge

Area of Science:

• Gastroenterology
• Hepatology
• Gynecology

Background:

• Fitz-Hugh-Curtis syndrome (FHC) is a rare complication of pelvic inflammatory disease (PID).
• Diagnosis is often delayed due to non-specific symptoms mimicking other intra-abdominal conditions.
• Common differential diagnoses include cholecystitis, appendicitis, and other causes of acute abdomen.

Purpose of the Study:

• To highlight the diagnostic challenges associated with Fitz-Hugh-Curtis syndrome.
• To present a case where FHC mimicked an appendiceal mass.
• To emphasize the importance of considering FHC in the differential diagnosis of acute abdominal pain.

Main Methods:

• Case report presentation.
• Review of clinical examination findings.
• Diagnostic laparoscopy as a key investigative tool.

Main Results:

• A palpable cecal and omental mass was noted on physical examination.
• The mass was initially suspected to be an appendiceal mass secondary to perforation.
• Diagnostic laparoscopy was performed for definitive evaluation.

Conclusions:

• Fitz-Hugh-Curtis syndrome presents diagnostic challenges due to its rarity and overlapping symptoms with common surgical emergencies.
• Clinical suspicion and appropriate diagnostic modalities like laparoscopy are crucial for accurate diagnosis.
• Early recognition and treatment of FHC can prevent long-term complications.