Gonococcal Perihepatitis: Diagnosis and Management in a College Population

Abstract

Although gonococcal perihepatitis is not a common clinical problem, it should be in the differential diagnosis of patients who present with right upper quadrant pain and a subsequent positive gonorrhea culture. With the increasing incidence of venereal disease, more cases of gonococcal perihepatitis are anticipated, and an awareness of its protean manifestations should be known and considered by all health care providers. This is especially true for physicians treating college students, as the sequelae of pelvic infection can be severe tissue injury to the reproductive organs with resultant involuntary infertility.

This paper presents three cases of diagnosed gonococcal perihepatitis in a college population with a complete literature review of this disease entity.