{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:04:30Z","timestamp":1756339470929,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,6,10]]},"abstract":"<jats:p>A 23-year-old Japanese woman, previously a commercial sex worker, presented with a 2-day history of right upper quadrant (RUQ) abdominal pain, worse on deep inspiration. She had noticed increased vaginal discharge 2\u2005months earlier and had developed dull, lower abdominal pain 3\u2005weeks prior to presentation. Although pelvic examination and transvaginal ultrasonography revealed neither a tubal nor ovarian pathology, abdominal CT scan with contrast demonstrated early enhancement of the hepatic capsule, a finding pathognomonic for Fitz-Hugh-Curtis syndrome (FHCS). Cervical discharge PCR assay confirmed <jats:italic>Chlamydia trachomatis<\/jats:italic> infection. This case highlights that normal gynaecological evaluation may be insufficient to rule out FHCS, for which physicians should have a high index of suspicion when seeing any woman of reproductive age with RUQ pain.<\/jats:p>","DOI":"10.1136\/bcr-2016-215711","type":"journal-article","created":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T19:26:40Z","timestamp":1466710000000},"page":"bcr2016215711","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Fitz-Hugh-Curtis syndrome lacking typical characteristics of pelvic inflammatory disease"],"prefix":"10.1136","volume":"2016","author":[{"given":"Hayato","family":"Mitaka","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidetaka","family":"Kitazono","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gautam A","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Hawaii, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiji","family":"Hiraoka","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,6,22]]},"reference":[{"key":"2025082707282984000_2016.jun22_1.bcr2016215711.1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.71.3.233"},{"key":"2025082707282984000_2016.jun22_1.bcr2016215711.2","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-200309000-00017"},{"key":"2025082707282984000_2016.jun22_1.bcr2016215711.3","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2007.8.1.40"},{"key":"2025082707282984000_2016.jun22_1.bcr2016215711.4","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.14.6975"},{"key":"2025082707282984000_2016.jun22_1.bcr2016215711.5","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.27.1641"},{"key":"2025082707282984000_2016.jun22_1.bcr2016215711.6","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2012.53.4.753"},{"key":"2025082707282984000_2016.jun22_1.bcr2016215711.7","first-page":"4","article-title":"Fitz-Hugh-Curtis syndrome: clinical characteristics in the general internal medicine outpatient setting","volume":"11","author":"Suzuki","year":"2005","journal-title":"Katei-iryo"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-215711","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:28:37Z","timestamp":1756304917000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-215711"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,22]]},"references-count":7,"alternative-id":["10.1136\/bcr-2016-215711"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-215711","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2016,6,22]]}}}