A Fitz-Hugh-Curtis syndrome (perihepatitis) is a complication of PID caused most commonly by which organism, and what is the characteristic clinical finding on laparoscopy?

• A Neisseria gonorrhoeae; purulent exudate over the liver capsule
• B Escherichia coli; biliary-hepatic adhesions
• C Gardnerella vaginalis; free pus in the hepatorenal pouch
• D Chlamydia trachomatis; 'violin string' adhesions between liver capsule and anterior abdominal wall ✓

Explanation

Fitz-Hugh-Curtis syndrome is perihepatitis occurring as a complication of PID, caused most commonly by Chlamydia trachomatis (and less commonly Neisseria gonorrhoeae). The characteristic laparoscopic finding is 'violin string' (filmy) adhesions between the liver capsule (Glisson's capsule) and the anterior parietal peritoneum. Patients present with right upper quadrant pain resembling hepatobiliary disease; liver function tests are typically normal.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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