The syndrome is more common in sexually-active adolescents and young adults, primarily women..
Clinical features:
(1) genital infection, which may involve pelvic inflammatory disease (PID) in females
(2) perihepatitis with right upper quadrant pain and a friction rub at the right anterior costal margin
(3) fever
(4) exclusion of other explanations (cholecystitis, pyelonephritis, etc)
Imaging findings:
(1) abdominal CT shows subcapsular enhancement about the liver
Laboratory findings:
(1) evidence of genital Chlamydia and/or Neisseria gonorrhoeae infection
Complications:
(1) adhesions about the hepatic capsule
(2) small bowel obstruction secondary to adhesions
(3) infertility (associated with the PID)
