Because they Fitz-Hugh-Curtis (Fitz-Hugh-Curtis) syndrome. It serohepatitis - inflammation of the liver capsule and adjacent to it the peritoneum. Due to inflammation of the liver grows to peritoneal adhesions. These are thin extending spikes.
Once it was called venereal perigepatitom because the cause is more often gonorrhea or chlamydia. This infection spreads from the fallopian tubes. Pipes freely open the abdominal cavity, and gonorrhea with Chlamydia falls to the same.
Shaking on the stomach, liver infection and settles on it causes inflammation capsules. Liver tissue itself is not affected.
Yet it is believed that there is some kind of autoimmune process gives a heat. And the infection can fly into the liver lymphogenous or hematogenous route.
The reason - it is an infection. In this there is no doubt. In the thirties of the last century opened sick stomach, and then received from the drainages gonococci.
The inflamed peritoneum portion that lines the upper right abdomen. Therefore, there is a pain in the right upper quadrant.
There are a number of aperture. It can also become inflamed. From the diaphragm pain spreads along the phrenic nerve. Sore somewhere in the collarbone area. It turns out that by pelvic infection starts to hurt his shoulder.
Serohepatitis occurs in 4 -14% of all pelvic infections in women aged 15 - 30 years. The most common cause is Chlamydia trachomatis.
Imagine that you can fantasize about the pain in the right upper quadrant? And cholecystitis and dyskinesia, and bulbit, and parasites. And in fact, there chlamydia.
Or is the opposite. My patient, a student in the emergency hospital appendicitis watched. All were looking for in age the pelvic infection. And the year before that, too, were looking for her infection and even tried to priplesti ureaplasma. But we found nothing. That there is no pathogen about even.
Twice the girl suffered from STIs search. Some in it, perhaps, the life force was, or immunity, or... I do not know that.
