Method:
the study was conducted to analyze the correlation between Fitz Hugh-Curtis
syndrome (FHCS) with the occurrence of hydrosalpinx, and the risk for
hydrosalpinx occurrence due to FHCS. This
observational retrospective study was conducted by reviewing the medical
records of 315 infertile women who underwent
gynecologic laparoscopy procedure from 2011 to 2016. FHCS was
characterized by the presence of perihepatic adhesion between Glisson’s capsule
and anterior peritoneum, forming “violin string” appearance, and categorized as a mild,
moderate, and severe form. The comparison of the degree of FHCS and
hydrosalpinx occurrence was analyzed using χ2 test. The odds ratio was calculated to analyze the risk for hydrosalpinx
occurrence in the presence of FHCS. The p-value < 0.05
was considered significant. Of 315 subjects, FHCS was found in 108 subjects
(34.3%), while hydrosalpinxwas found in 107 subjects (34%). Sixty-eight
subjects (63%) have a severe degree of FHCS. In subjects with FHCS, 64.5% had
hydrosalpinx. There was a significant difference in the perihepatic adhesion
degree and the occurrence of hydrosalpinx (χ2 = 7.55; p = 0.02).
There was a significant difference in hydrosalpinx
occurrence between FHCS-positive and-negative group (χ2 = 65.60, p < 0.05). The risk of hydrosalpinx occurrence was higher in the presence of FHCS compared with those without FHCS (OR 7.87; 95%
CI 4.64-13.33, p < 0.05). Conclusion:
the risk for hydrosalpinx was elevated in FHCS.
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