Fitz-Hugh-Curtis syndrome (FHCS) is uncommon in children that pediatricians hardly list in the differential diagnosis of abdominal pain. A 14-year-old girl developed intermittent lower abdominal pain accompanied by constipation. She presented with subsequent right upper quadrant abdominal tenderness. With a medical interview of her sexual activity, FHCS was suspected and confirmed by a plain computed tomography, Gadolinium-enhanced magnetic resonance imaging and a detection of Chlamydia trachomatis in her vaginal discharge. She responded well to standard antimicrobial treatment and constipation was resolved simultaneously. Constipation is a most common cause of abdominal pain in children. However, FHCS should be considered in a potentially sexually active girl with an accompanied right upper quadrant abdominal pain.
Kazuaki Matsumoto, Futaba Inoue, Saori Amano, Yumie Tamura, Miho Ashiarai1, Keiko Onda1, Mari Okada, Masako Imai, Natsuko Suzuki, Masayuki Nagasawa and Akihiro Oshiba
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