Perihepatitis and chlamydial salpingitis.

In 4 patients with acute salpingitis (3 of whom also had perihepatitis) the diagnoses were verified by laparoscopy or laparotomy and all 4 had cultural and serological evidence of current infection with Chlamydia trachomatis, whereas none had signs of gonococcal infection. 3 of the 4 had symptoms in the right upper abdomen, but the liver surface showed signs of perihepatitis in only 2. In the 4th patient, perihepatitis was diagnosed, although she denied symptoms in the hepatic region. Thus symptoms from the right upper abdomen in a young woman may be an indirect sign of a genital infection.