Woman 24 yo post partum, pain at right pelvis and fever. But one day after, pain at liver region, palpation is very painful at Murphy point liked cholecystitis.
Ultrasound of abdomen cannot detect cause of pain, no stone in gallbladder , no thickening of the wall of gallbladder, no free air or free fluidat Morrison space(see US pictures 1, 2).
MSCT of abdomen without CE cannot detect abnormal ( CT 1); with CE injection, in delay phase radiologist reported abnormal perihepaticcontrast enhanced.
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Suggestion for this case : perihepatitis and PID [pelvic inflammatory disease] means FITZ-HUGH-CURTIS SYNDROME.
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THIS PATIENT HAD BEEN TREATED BY ANTIBIOTICS, CLINICAL STATUS RESPONSED VERY WELL, NO MORE PAIN AND NO FEVER, AND DISCHARGED HOSPITAL AFTER 3 DAYS.
REFERENCE: FHC SYNDROME.
