A case of Fitz-Hugh-Curtis syndrome with no sexual history diagnosed during laparoscopic ovarian cystectomy

Abstract

Fitz-Hugh-Curtis syndrome (FHCS) is an extra-pelvic complication of pelvic inflammatory disease (PID). It complicates approximately 12% to 13.8% of cases with PID. FHCS is typically develops secondary to genital tract infections including Chlamydia trachomatis and Neisseria gonorrhoeae. Here we describe a 37-year-old woman with no sexual experience who had laparoscopic surgery for a benign ovarian tumor and was diagnosed with FHCS on perihepatic violin string fibrinous strands. Several months before this surgery, she had experienced abdominal pain around the navel, and the right side quadrant pain due to appendicitis. Based on her clinical course, FHCS was suggested to occur concurrently or secondary to non-sexually transmitted PID and/or appendicitis. 〔Adv Obstet Gynecol, 76(1): 8-15, 2024(R6.2)〕