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A RARE CASE REPORT OF FITZ HUGH CURTIS SYNDROME Presenting author ? Dr.K.SAI SINDHUJA CO-AUTHOR :Dr.Vandana.K ( Prof & HOD, Dept of OBGY ) ABSTRACT : INTRODUCTION : ? Fitz-Hugh-Curtis syndrome or perihepatitis, is a chronic manifestation of pelvic inflammatory disease. ? Direct visualization of violin string-like adhesions in laparoscopy or laparotomy. AIM : To describe a case of FITZ HUGH CURTIS SYNDROME and it?s outcome. OBJECTIVES: ? Describe the risk factors for developing FHCS. ? Outline the typical presentation of a patient with FHCS. ? Describe the typical studies that should be ordered in the evaluation of FHCS. METHODS : 23 year old nulliparous woman with previoushistory of missed abortion came for evaluation of infertility. Her HSG showed bilateral tubal blockage. The case was posted for diagnostic hysterolaparoscopy . RESULTS : INVESTIGATIONS : CBP, CUE, BGT, RBS, Virals, USG, HSG, Husband Semen analysis within normal limits . 23 year old nulliparous woman with previous history of missed abortion came for evaluation of infertility. Her HSG showing bilateral tubal blockage. The case was posted for diagnostic hysterolaparoscopy which revealed typical VIOLIN STRING APPEARANCE of FITZ HUGH CURTIS SYNDROME incidentally and bilateral tubal blockage suggesting PID could be the cause for tubal blockage. Laparoscopic Adhesiolysis of peri-tubal adhesions Referred for ART in view of bilateral tubal blockage CONCLUSION : Fitz-Hugh-Curtis syndrome is a chronic manifestation of pelvic inflammatory disease . It is described as an inflammation of the liver capsule, without the involvement of the liver parenchyma, with adhesion formation accompanied by right upper quadrant pain. A final diagnosis can be made through laparoscopy or laparotomy via direct visualization of violin string-like adhesions or through hepatic capsular biopsy. Treatment coincides with management of PID. Goals of treatment are to relieve symptoms, eradicate infection, and minimize risks of long-term sequelae (infertility or ectopic pregnancy).