Fitz Hugh Curtis syndrome is a rare disease that occurs when the tissue around the liver swells due to pelvic inflammatory disease. The condition is also known as “perihepatitis syndrome” or “gonococcal perihepatitis.” 

Moreover, a woman’s reproductive system is often affected by this condition. Usually, sexually transmitted infections, like chlamydia and gonorrhea, are the common causes. Uterus inflammation, as well as inflammation in the fallopian tubes, ovaries, vagina, or cervix, are the most common symptoms.

Furthermore, this inflammation can sometimes extend to the liver’s coating or the tissue in the abdomen surrounding the liver. The diaphragm, the muscles that divide the abdominal cavity from the chest, can also be affected.


Sudden and intense discomfort in the top right location of the tummy, underneath the ribs, is a symptom of Fitz Hugh Curtis syndrome. There is a chance that you will also have discomfort in your right shoulder and arm. When you move, it is common for it to grow worse.

Additional signs and symptoms might include:

  • Fever
  • Chills
  • Sweating at night
  • Vomiting and nausea
  • Hiccups
  • Headaches
  • An overall sense of ill health 

Moreover, a common sign of Fitz Hugh Curtis syndrome is lower-belly pain and vaginal discharge, which can be quite uncomfortable.


Suppose the doctor believes that you have Fitz Hugh Curtis syndrome. In that case, testing will be performed to rule out other diseases and illnesses that might produce similar symptoms, such as pancreatitis, peptic ulcer disease, viral hepatitis, and appendicitis. 

An ultrasound, X-rays in the chest and stomach, and CT scans are among the examinations used to diagnose this condition. The doctor may also perform a laparoscopy. They will insert a small tube into the belly to let them examine the liver and surrounding tissues.


Fitz Hugh Curtis syndrome treatment includes consuming an antibiotic as a tablet or injecting it into your veins through an IV. The doctor may also recommend pain relievers to ease discomfort.

Moreover, they may do a laparoscopy to eliminate scar tissue in your liver if treating the underlying STI does not relieve your stomach pain. To do this, they will introduce a tiny, thin instrument via a small cut made in the stomach and remove the dead tissues throughout the surgery. Nevertheless, this is an uncommon occurrence.

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