A case of conversion from laparoscopic to open surgery due to massive bleeding in patient with Fitz-Hugh-Curtis syndrome

Abstract

An 18-year-old-woman was admitted to our hospital complaining of the abdominal pain on 2 October, 2001. Ultrasonography and CT revealed massive ascites.
Emergent laparoscopic operation was performed on the following day. Yellowish brown sticky ascites was recognized in the whole abdominal cavity and right oviduct was reddish, inflammatory and easy to bleed. The patients was diagnosed as Fitz-Hugh-Curtis syndrome. Bleeding from right oviduct could not be controlled, therefore we converted to open surgery and controlled bleeding.
As the laparoscopic procedure has been popular, the surgeon must have the capability to make decision of conversion to open surgery under the appropriate circumstances.