A 24-year-old woman presents with bilateral lower abdominal pain, fever, and cervical motion tenderness. On laparoscopy, fibrinous exudate covers the liver capsule and fallopian tubes bilaterally. Cervical swab grows Chlamydia trachomatis. This perihepatitis is known as:

• A Meigs syndrome
• B Asherman syndrome
• C Allen-Masters syndrome
• D Fitz-Hugh-Curtis syndrome ✓

Explanation

Fitz-Hugh-Curtis syndrome (perihepatitis) is a complication of PID, classically caused by Chlamydia trachomatis (and less commonly Neisseria gonorrhoeae), in which pelvic infection spreads to the liver capsule producing right upper quadrant pain and violin-string adhesions between the liver and anterior abdominal wall on laparoscopy. Allen-Masters syndrome refers to broad ligament laceration. Asherman syndrome is intrauterine adhesions.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.