Fallbericht Gynäkologie und Geburtshilfe Offener Zugang

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Fitz-Hugh-Curtis Syndrome Preceded by Constipation in a 14-Year-Old Girl

Kazuaki Matsumoto, Futaba Inoue, Saori Amano, Yumie Tamura, Miho Ashiarai1, Keiko Onda1, Mari Okada, Masako Imai, Natsuko Suzuki, Masayuki Nagasawa and Akihiro Oshiba

Fitz-Hugh-Curtis syndrome (FHCS) is uncommon in children that pediatricians hardly list in the differential diagnosis of abdominal pain. A 14-year-old girl developed intermittent lower abdominal pain accompanied by constipation. She presented with subsequent right upper quadrant abdominal tenderness. With a medical interview of her sexual activity, FHCS was suspected and confirmed by a plain computed tomography, Gadolinium-enhanced magnetic resonance imaging and a detection of Chlamydia trachomatis in her vaginal discharge. She responded well to standard antimicrobial treatment and constipation was resolved simultaneously. Constipation is a most common cause of abdominal pain in children. However, FHCS should be considered in a potentially sexually active girl with an accompanied right upper quadrant abdominal pain.