Perihepatic adhesions in infertility patients with prior pelvic inflammatory disease

At the time of laparoscopic examination performed for the evaluation of infertility, 55 patients with hydrosalpinges were identified. Perihepatic "violin-string" adhesions suggestive of a prior episode of Fitz-Hugh-Curtis syndrome were seen in 15 of these patients. Of 13 patients with proximal tubal obstruction and 7 patients with periadnexal adhesions and patent fallopian tubes, none of whom had surgical procedures or endometriosis, none were noted to have perihepatic adhesions. No patients with perihepatic adhesions had symptoms referable to the liver.