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Pelvic inflammatory disease can cause symptoms outside the reproductive tract for a number of reasons. First, because the female reproductive tract communicates freely with the pelvic cavity, symptoms can include inflammation of the peritoneum and other structures outside the uterus, ovaries and tubes. Second, the severe inflammation can cause systemic symptoms like fatigue, fever, and malaise. Lastly, a woman can get referred pain from the pelvis with PID, such as FitzHugh Curtis Syndrome, which consists of right upper quadrant pain with chlamydial PID.

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Q: Why might pelvic inflammatory disease result in symptoms outside the female reproductive tract?
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