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Article
July 1964

Gonococcal Perihepatitis: Report of Three Cases With Comments on Diagnosis and Treatment

Author Affiliations

LOUISVILLE, KY

Assistant Professor of Medicine (Dr. Vickers); formerly Director of Venereal Disease Control, Louisville Jefferson County Health Department (Dr. Maloney).

From the Department of Medicine, University of Louisville School of Medicine and Louisville General Hospital and Jefferson County (Ky) Department of Public Health.

Arch Intern Med. 1964;114(1):120-123. doi:10.1001/archinte.1964.03860070166023
Abstract

Although the syndrome of gonococcal perihepatitis has been known for three decades, most physicians are unacquainted with this entity. Three cases in which the diagnosis was originally obscure have recently come to our attention. It is believed that a presentation of these cases and a review of the clinical features of the syndrome would be of interest.

Report of Cases 

Case 1.  —A 23-year-old Negro woman (LGH No. 306534) was admitted to the Louisville General Hospital surgical service July 4, 1962, with a fourday history of colicky abdominal pain in the right upper quadrant. There was no previous history suggestive of biliary colic, jaundice, or fatty food intolerance. The only abnormal physical findings were tenderness without rebound in the right upper quadrant and a temperature of 100 F (37.8 C). Routine laboratory studies, including serum amylase, were normal. A presumptive diagnosis of acute cholecystitis was made, and she was treated

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