Case of Fitz-Hugh-Curtis (FHC) Adhesions
28F +4d RUQ pain worse w/ inspiration, 102F fever, no vaginal discharge, rash, or other Sx. Exam: +Murphy's. WBC 7, AST/ALT mildly ⬆️, lipase n/l, (-) preg test. (-) HIV, RPR. RUQ-US: +cholelithiasis. CT: +enhancement of liver capsule.
Gold standard dx is laparasocopic demonstration of "violin string" adhesions
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#Adhesions #ViolinStrings #FitzHughCurtis #FHC #Clinical #Photo