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What is Fitz-Hugh-Cuiz syndrome is ____________ and explain in detail?
Fitz-Hugh-cuis syndrome is a perihepatitis which occurs in the setting of Pelvic inflammatory disease (PID) It occurs in approximately 10 percent of women with acute PID. Gonococcal salpingitis/Chlamydial infection - transperitoneal/vascular spread - inflammation of the liver capsule and peritoneal surfaces of the anterior right upper quadrant. Characterized by right upper quadrant abdominal pain with a pleuritic component, sometimes referred to the right shoulder. Differential Diagnosis: Cholecystitis: Severity of the pain in the right upper quadrant may mask the diagnosis of PID and lead to an erroneous diagnosis of cholecystitis. Ruptured tubo ovarian abscess: If all abdominal quadrants are involved, suspect a ruptured tubo ovarian abscess. Liver parenchyma and stroma are not involved. Aminotransferases are usually normal or only slightly elevated. Ref: Williams Gynaecology 3rd edition Pgno: 67