Author(s)

Hartanto Bayuaji^1*, Wiryawan Permadi¹, Heda Melinda Nazaruddin Nataprawira²

¹Department of Obstetrics & Gynecology, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung, Indonesia.
¹Department of Obstetrics & Gynecology, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung, Indonesia.
²Department of Child Health, Faculty of Medicine, Universitas Padjadjaran/Hasan Sadikin Hospital, Bandung, Indonesia.

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.

Fitz Hugh-Curtis Syndrome, Hydrosalpinx, Female Infertility, Tubal Pathology

Bayuaji, H. , Permadi, W. and Nataprawira, H. (2017) The Fitz Hugh-Curtis Syndrome and Hydrosalpinx: Analysis of Findings in Gynecologic Laparoscopy Procedure of Infertile Women. Open Access Library Journal, 4, 1-8. doi: 10.4236/oalib.1103742.