Figure 13b. Chronic Fitz-Hugh–Curtis syndrome in a 30-year-old woman with right upper quadrant pain. (a) Arterial phase contrast-enhanced CT scan shows enhancement of the hepatic capsule (arrowhead). (b) Equilibrium phase contrast-enhanced CT scan shows persistence of the hepatic capsular enhancement (arrowhead). The findings in a and b are suggestive of chronic Fitz-Hugh–Curtis syndrome. (c) Laparoscopic image shows the classic "violin string" adhesions between the anterior liver capsule and the anterior abdominal wall or diaphragm.