Background
FHCS is characterized by inflammation of perihepatic capsules and adhesions between the liver capsule and anterior abdominal wall with concomitant pelvic inflammatory disease (PID). The diagnosis of FHCS can be difficult because its symptoms and physical findings can mimic those of many other diseases. FHCS is considered in women with right upper quadrant (RUQ) pain related to hepatobiliary diseases such as cholecystitis, cholelithiasis, and hepatitis and in women with pulmonary-related diseases such as pleurisy, pulmonary embolism, and pneumonia. FHCS may also be present in patients with perforated ulcer, subphrenic abscess, pancreatitis, appendicitis, or herpes zoster. It is most frequently caused by the sexually transmitted pathogens of Chlamydia trachomatis and Neisseria gonorrhoeae. However, genital or extrapulmonary mycobacterial infection is often neglected during evaluation for suspected FHCS. Only a few studies have reported (Mycobacterium tuberculosis) MTB-related FHCS, and no reports of NTM in patients with FHCS have been published. Herein, we present the first reported case of a patient with extrapulmonary NTM infection in a clinical presentation of FHCS.