This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Infections of the genital tract, Subject name: Gynaecology & Obstetrics
Fitz-Hugh-Cuiz syndrome is ____________ 
Select and explain. 
A. Perihepatitis, B. Cholecystitis, C. Tuboovarian abscess, D. Gonococcal urethritis
A: Perihepatitis
Answer: A: Perihepatitis 
Explanation: Fitz-Hugh-cuis syndrome is a perihepatitis which occurs in the setting of Pelvic inflammatory disease (PID) It occurs in approximately 10 percent of women with acute PID. Gonococcal salpingitis/Chlamydial infection - transperitoneal/vascular spread - inflammation of the liver capsule and peritoneal surfaces of the anterior right upper quadrant. Characterized by right upper quadrant abdominal pain with a pleuritic component, sometimes referred to the right shoulder. Differential Diagnosis: Cholecystitis: Severity of the pain in the right upper quadrant may mask the diagnosis of PID and lead to an erroneous diagnosis of cholecystitis. Ruptured tubo ovarian abscess: If all abdominal quadrants are involved, suspect a ruptured tubo ovarian abscess. Liver parenchyma and stroma are not involved. Aminotransferases are usually normal or only slightly elevated. Ref: Williams Gynaecology 3rd edition Pgno: 67