From: J.Glenn Bradley MD November 29,1998
"The Fitz-Hugh-Curtis syndrome is associated with severe PID. Pus in the fallopian tubes leaks out and finds its way up under the diaphragm. The patient is usually very ill with peritonitis and high fever. When the infection is treated, the healing process may result in adhesions forming from the liver to the underside of the diaphragm. These are usually painless and found coincidently. Adhesions about the ovaries however frequently cause severe pelvic pain and tenderness."