Fitz-Hugh-Curtis Syndrome Presenting as Acute Abdomen

A 19-year-old woman presented with abdominal pain and fever for 1 week. Physical examination revealed diffuse abdominal tenderness without vaginal discharge or tenderness of the cervical and adnexal regions. Laboratory results included White Blood Cell (WBC)=18.0 × 103/mm3, Erythrocyte Sedimentation Rate (ESR)=106mm/hr, Alanine Aminotransferase Test (ALT)=97U/l, and Aspartate Aminotransferase Test (AST)=76U/l. Chlamydial and gonococcal DNA probes of endocervical secretions were negative. Abdominal computed tomography imaging showed pelvic ascites, small bowel wall thickening and mesenteric fat stranding.