A rare and interesting case of Fitz-Hugh-Curtis syndrome and ectopic pregnancy- case report and review of literature

Background: Fitz-Hugh–Curtis syndrome (FHCS) is an uncommon hepatic aftermath of pelvic inflammatory disease (PID), predominantly seen in women of childbearing age. It involves perihepatic inflammation without parenchymal liver damage, and is most often linked to Chlamydia trachomatis or Neisseria gonorrhoeae infections.Case Details: A 27-year-old woman who came with early pregnancy, abdominal discomfort in right lower quadrant, diagnosed as an unruptured tubal ectopic pregnancy. During laparoscopy, adhesions were seen within the subhepatic peritoneal compartment, characteristic of FHCS. Laparoscopic salpingectomy, adhesiolysis, and peritoneal lavage were performed. The postoperative course was uneventful, and the patient was discharged on day three.Conclusion: This case highlights connection between ectopic and FHCS as perihepatic adhesions can be a potential sequela of ectopic pregnancy, to add on to this some patients of ectopic can have high prevalence of FHCS due to presence of perihepatic adhesions.