This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Misc., Subject name: Medicine
Which one of the following is implicated in the etiology of adhesions around the liver? 
Select and explain. 
A. Chlamydial infection, B. Perforation of dermoid cyst, C. Gastric perforation, D. Liver metastases in ovarian cancer
A: Chlamydial infection
Answer: A: Chlamydial infection 
Explanation: The image shows adhesions of Fitz-Hugh-Cuis syndrome which is a chlamydial infection leading to perihepatitis. Peri-hepatitis should be suspected in young, sexually active women who develop right-upper-quadrant pain, fever, or nausea. Frequently, peri-hepatitis is associated with extensive tubal scarring, adhesions, and inflammation observed at laparoscopy, and high titers of antibody to chlamydial heat-shock protein