Anterior liver surface to anterior abdominal wall adhesions usually occupy an area several inches in diameter, are ordinarily numerous, and are usually of sufficient length to allow considerable play between the liver and the parietal peritoneum (p. 1221).2. . . The pain in the right upper quadrant incident to violin-string adhesions is sometimes slight, similar to a stitch in the side, but quite often it stimulates a more serious attack of pleurisy (p. 2011).3
At some indefinite time presumably following a previous gonorrheal infection, or possibly a reinfection, there occurs a brief period of leukorrhea, slight transient dysuria, cramps and perhaps a somewhat abnormal menstrual epoch. This train of symptoms suggests that a mild pelvic reactivation has occurred. Vague low abdominal pain, distention and slight irregular fever follow promptly. Within from one to three weeks, sometimes after a brief interval of apparent quiescence, there occurs acute severe pain in the upper part of the abdomen with distention and rigidity, which quickly localizes in the right upper quadrant. . . . After this the “chronic stage” begins, which may be symptomless or characterized by the later manifestations described by Curtis (p. 2096).4
- Fitz-Hugh-Curtis Syndrome presenting as acute abdomen.Am J Med. 2020; 133: e596
- A cause of adhesions in the right upper quadrant.JAMA. 1930; 94: 1221-1222
- Adhesions of the anterior surface of the liver.JAMA. 1932; 99: 2010-2012
- Acute gonococci peritonitis of the right upper quadrant in women.JAMA. 1934; 102: 2094-2096
Conflicts of Interest: None.
Authorship: All authors had access to the data and a role in writing this manuscript.