Fitz-Hugh-Curtis syndrome (FHCS) or perihepatitis is a complication of pelvic inflammatory disease (PID) that predominantly affects women -- only a handful of cases have occurred in men. The bacterial illnesses usually responsible for Fitz-Hugh-Curtis syndrome are gonorrhea and chlamydia. During the 1930s, Thomas Fitz-Hugh and Arthur Curtis recognized a connection between right upper quadrant pain and a violin-string pattern of adhesions in women with histories of fallopian tube inflammation and pelvic infection. Adhesions are tough bands of scar tissue formed between abdominal tissues and organs.
The most recognizable symptom of Fitz-Hugh-Curtis syndrome is a sudden, sharp pain in the right upper quadrant of the abdomen that increases with movement and often radiates to the right shoulder or arm. Other common symptoms include fever, chills, headaches, nausea, vomiting, and malaise, a general feeling of poor health and loss of energy. Hiccups are an unusual symptom of Fitz-Hugh-Curtis syndrome that most people do not associate with illness.
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