Abstract
A 28-year-old woman diagnosed with cholelithiasis and reporting acute severe right upper quadrant pain was found in biochemical blood studies to have increased liver enzyme. Upon laparoscopy, the patient was diagnosed with Fitz-Hugh-Curtis syndrome and cholelithiasis based on violin-string-like adhesion between the liver surface and peritoneum and serological positivity for Chlamydia IgA, IgG antibody. With Chlamydia infection on the increase, Chlamydia should be checked for and the liver surface carefully observed in laparoscopy involving young women.