The Fitz-Hugh-Curtis syndrome, a complication of PID, involves perihepatitis. The pathognomonic laparoscopic finding is:
- A Violin-string adhesions between the liver capsule and anterior abdominal wall ✓
- B Purulent exudate covering the liver surface
- C Hepatomegaly with multiple small abscesses
- D Ascites with right upper quadrant tenderness
Correct answer: A. Violin-string adhesions between the liver capsule and anterior abdominal wall
Explanation
Fitz-Hugh-Curtis syndrome is perihepatitis associated with Chlamydia trachomatis or Neisseria gonorrhoeae PID. The pathognomonic laparoscopic finding is violin-string (filmy, fibrous) adhesions between the anterior liver capsule and the anterior abdominal peritoneum. It presents as right upper quadrant pain in a woman with PID, mimicking cholecystitis. Treatment is the same as for PID.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.