Internal hernia secondary to Fitz-Hugh-Curtis syndrome causing small bowel obstruction


  • Matthew J. McMahon Department of Surgery, Cairns Base Hospital, Queensland, Australia
  • Eshwarshanker Jeyarajan Department of Surgery, Cairns Base Hospital, Queensland, Australia



Small bowel obstruction, Fitz-Hugh-Curtis, PID, Laparoscopy


We present a 56-year-old female who presented with symptoms suggestive of a small bowel obstruction (SBO) in a virgin abdomen. Cross-sectional imaging and laparoscopy revealed an internal hernia through perihepatic adhesions that are likely representative of Fitz-Hugh-Curtis syndrome (FHCS). These adhesions were divided, the small bowel reduced, and she made an unremarkable recovery. This is the first reported case of an internal hernia from FHCS causing an SBO.


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