Fitz-Hugh-Curtis syndrome: three cases confirmed by laparoscopy.

There were 3 cases of Fitz-Hugh-Curtis syndrome,--pelvic inflammatory disease (PID) complications and perihepatitis,--caused by Chlamydia trachomatis infection. All 3 patients complained of sudden right upper quadrant pain in addition to PID symptoms. Enzyme immunoassay of uterine cervical specimens revealed that the positive chlamydial antigen and serum antibody titer against anti-Chlamydia trachomatis were also high. In all cases the laparoscopy revealed findings of perihepatitis on the anterior surface of the right hepatic lobe. In 2 cases, typical violin-string adhesions were also observed between the liver capsule and parietal peritoneum. In both cases, adhesiolysis was conducted during the laparoscopy.