The Fitz-Hugh-Curtis syndrome is a complication of pelvic inflammatory disease characterised by which of the following?
- A Pelvic abscess with rupture into the peritoneal cavity
- B Perihepatitis with violin-string adhesions between the liver capsule and anterior abdominal wall ✓
- C Peritonitis secondary to Neisseria gonorrhoeae bacteraemia
- D Ovarian vein thrombophlebitis causing septic emboli
Correct answer: B. Perihepatitis with violin-string adhesions between the liver capsule and anterior abdominal wall
Explanation
Fitz-Hugh-Curtis syndrome (perihepatitis) is a complication of ascending genital tract infection (PID) due to Chlamydia trachomatis or Neisseria gonorrhoeae. The organism ascends to cause inflammation of the liver capsule (Glisson's capsule) and adjacent peritoneum, resulting in characteristic violin-string (perihepatic) adhesions. It presents with right upper quadrant pain and can mimic cholecystitis. It is distinct from pelvic abscess or bacteraemia.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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