Perihepatitis gonorrhoica A54.8

Peritonitis localized in the liver region. Fitz-Hugh-Curtis syndrome is a complication of chronic PID resulting from various STIs. C. trachomatis is the most commonly implicated pathogen, but the syndrome can also be caused by N. gonorrhoeae infection

Onward migration of the pathogens through the fallopian tubes into the free abdominal cavity, lymphogenic and hematogenic germ development also possible.

Pathogen detection and laparoscopy. Diagnosis is made by direct visualization of adhesions between the liver and the abdominal wall or diaphragm without evidence of parenchymal liver disease.

The most common complications in patients with PID as well as Fitz-Hugh-Curtis syndrome are infertility, abdominal abscesses, and bowel obstruction due to adhesion formation in the abdominal cavity.

The most commonly used regimen includes ceftriaxone and azithromycin for gonococcal and chlamydial infections. Complicated PID can be treated with ceftriaxone, doxycycline, and metronidazole.