RESUMO
The authors describe the development of the disease in a 15-year-old girl hospitalized on account of temperatures and vague pain in the right hypogastrium. Within a short time the pain shifted to the right epigastrium, became more intensive (with deterioration during inspiration) and concurrently the patient developed marked muscular tension in the whole right upper abdominal quadrant. The condition was associated with leucocytosis and a high red cell sedimentation rate. Marked tenderness and muscular tension persisted for cca 48 hours, afterwards, following symptomatic treatment, relatively rapid regression of the complaints and clinical picture occurred. Auxiliary examinations did not reveal any marked pathological changes of the abdominal and thoracic organs. Only during the post-acute phase of the disease gonococcal infection of the sex organs was revealed and adequate treatment was started. The authors evaluated the disease as gonococcal perihepatitis, known in the literature as Fitz-Hugh-Curtis syndrome.