skip to main content

Fitz-Hugh-Curtis Syndrome — SCE Infectious Diseases MCQ

Instant feedback + full explanation. One question, done properly.

HardSTIsFitz-Hugh-Curtis SyndromeSCE Infectious Diseases

A 35-year-old woman presents with right upper quadrant pain, fever, and raised inflammatory markers. She has an IUD in situ and a recent history of PID. CT abdomen shows a hepatic abscess adjacent to a thickened liver capsule with a 'violin string' appearance of peritoneal adhesions at laparoscopy. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Fitz-Hugh-Curtis syndrome (perihepatitis) complicated by hepatic abscess

Fitz-Hugh-Curtis syndrome is perihepatitis (inflammation of the liver capsule) as a complication of PID, typically caused by Chlamydia trachomatis or Neisseria gonorrhoeae. The classic 'violin string' adhesions between the liver capsule and anterior abdominal wall are pathognomonic. While frank hepatic abscess is uncommon, it can occur. Treatment addresses the underlying PID (IM Ceftriaxone plus Doxycycline plus Metronidazole per BASHH guidelines) and the abscess may require drainage.

Reference: BASHH 2019 – PID guidelines; WHO 2024 – STI management