4th September 2020

A 22-year-old woman has a three-year history of pelvic pain and dyspareunia

A 22-year-old woman has a three-year history of pelvic pain and dyspareunia, for which she has self-managed with over-the-counter pain relief. She develops acute onset RUQ abdominal pain and hepatomegaly. She undergoes a diagnostic laparotomy which shows ‘violin-string’ perihepatic adhesions, suggestive of Fitz-Hugh-Curtis syndrome. Which of the following is the most likely underlying cause?

Select the SINGLE most appropriate option from the list below. Select ONE option only.