Nigerian Journal of Clinical Practice

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Fitz‑Hugh‑Curtis syndrome: An incidental diagnostic finding in an infertility workup

R.C. Onoh, C.C. Mgbafuru, S.E. Onubuogu, I Ugwuoke


A case of Fitz‑Hugh‑Curtis syndrome in a 32‑year‑old para 1+1 is reported. She presented with inability to conceive of 4 years duration. Her husband’s semen analysis was within normal range. She had a hysterosalpingogram that showed bilateral tubal blockage and clinical assessment showed right sided abdominal tenderness, cervical excitation tenderness, and adnexa tenderness. The endocervical swab test for Chlamydia trachomatis was a positive. Laparoscopy and dye test showed adhesion bands on the under surface of the liver (the violin string appearance). She recovered well postoperatively. The couple received ofloxacin and metronidazole for 2 weeks. Literatures on Fitz‑Hugh‑Curtis syndrome presentation, pathogenesis, and management were reviewed.

Keywords: Fitz‑Hugh‑Curtis syndrome, infertility, laparoscopy, pelvic inflammatory disease
AJOL African Journals Online