The intrahepatic vesicle is the most frequent presentation of difficult cholecystectomies. FitzHugh-Curtis syndrome is a discovery, whose incidence tends to increase with the use of laparoscopy; this is in the order of 15-30% in women with pelvic inflammatory disease. This article presents the case of a 34-year-old woman, who has a clinical picture with more than a 30-day evolution, which was characterized by right hypochondriac pain of moderate-intensity, irradiated to the ipsilateral scapular region. The diagnosis was performed through abdominal ultrasonography of multiple cholelithiasis; for this reason, it is decided to perform an elective laparoscopic cholecystectomy, in which was found an intrahepatic vesicle with multiple calculations and besides, adhesions in violin strings between the hepatic capsule and the abdominal wall, concluding a post-surgical diagnosis of FitzHugh-Curtis syndrome.