Fitz-Hugh-Curtis Syndrome (FHCS) involves a perihepatitis associated with genital infection, usually in young sexually active women. The resultant adhesions about the liver may limit aerobic exercise.
Clinical features:
(1) young sexually active female with a history of pelvic inflammatory disease (PID) or genital infection
(2) running and other aerobic exercise limited by right upper quadrant abdominal and/or right pleural pain
(3) evidence of adhesions about the hepatic capsule and diaphragm
(4) relief of symptoms and improved performance following lysis of the adhesions
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