title: Gonococcal perihepatitis: diagnostic and therapeutic value of laparoscopy.
abstract: Two patients with pelvic and right hypochondrial pain and with purulent vaginal exudate in which Neisseria gonorrhoeae was isolated, are presented. Laparoscopy was used in both cases. A diagnosis of perihepatitis was made by demonstrating the typical adhesions in "violin string" shape and by obtaining clinical improvement after breaking up those adhesions. Our conclusion is that laparoscopy is a useful diagnostic and therapeutic procedure in young women with pain in the right upper quadrant of the abdomen and with signs of lower genital infection.
mesh_terms: D000328:Adult; D005260:Female; D006069:Gonorrhea; D006506:Hepatitis A / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology; D006801:Humans; D010535:Laparoscopy; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging; D011859:Radiography