Fitz-Hugh–Curtis syndrome: CT findings of three cases

Emergency Radiology - Tập 15 - Trang 43-46 - 2007
Hyeon Je Cho1, Ho Kyun Kim1, Jung Ho Suh1, Ghi Jai Lee1, Jae-Chan Shim1, Young Hwa Kim1
1Department of Diagnostic Radiology, Inje University College of Medicine, Seoul Paik Hospital, Seoul, South Korea

Tóm tắt

Clinical manifestations and computed tomography (CT) findings of Fitz-Hugh–Curtis syndrome (FHCS) are relatively well stabilized as right upper quadrant abdominal pain and hepatic capsular enhancement because of perihepatitis associated with pelvic inflammatory disease caused by N. gonorrhoeae and C. trachomatis. We encountered three patients with serial FHCS associated with pelvic inflammatory disease, who visited the emergency room with right upper quadrant abdominal pain. Abdominal CT revealed hepatic capsular or pericapsular enhancement along the anterior surface of the liver on the arterial phase. Recently, multi-detector CT has evolved as the first-line imaging modality of acute abdomen at the emergency room; we reemphasized the importance of the CT findings of this syndrome for differential diagnosis of right upper quadrant abdominal pain in sexually active young women. Physicians at the emergency room acknowledge the syndrome and should perform dynamic abdominopelvic CT including the arterial phase.

Tài liệu tham khảo

Leschka S, Alkadhi H, Wildermuth S, Marincek B (2005) Multi-detector computed tomography of acute abdomen. Eur Radiol 15(12):2435– 2447 Dec Curtis AH (1930) A cause of adhesions in the right upper quadrant. JAMA 94:1221– 1222 Fitz-Hugh T Jr (1934) Acute gonococcic peritonitis of the right upper quadrant in women. JAMA 102:2094–2096 Lopez-Zeno JA, Keith LG, Berger GS (1985) The Fitz-Hugh–Curtis syndrome revisited. Changing perspectives after half a century. J Reprod Med 30(8):567–582 Aug Toki T, Hoshiai H, Chan WI, Yajima A (1990) Fitz-Hugh–Curtis syndrome: three cases confirmed by laparoscopy. Asia Oceania J Obstet Gynaecol 16(2):105–110 Jun Nishie A, Yoshimitsu K, Irie H, Yoshitake T, Aibe H, Tajima T et al (2003) Fitz-Hugh–Curtis syndrome. Radiologic manifestation. J Comput Assist Tomogr 27(5):786–791 Sep–Oct Tsubuku M, Hayashi S, Terahara A, Furukawa T, Ohmura G (2002) Fitz-Hugh–Curtis syndrome: linear contrast enhancement of the surface of the liver on CT. J Comput Assist Tomogr 26(3):456–458 May–Jun Joo SH, Kim MJ, Lim JS, Kim JH, Kim KW (2007) CT diagnosis of Fitz-Hugh and Curtis syndrome: value of the arterial phase scan. Korean J Radiol 8(1):40–47 Jan–Feb Katzman DK, Friedman IM, McDonald CA, Litt IF (1988) Chlamydia trachomatis Fitz-Hugh–Curtis syndrome without salpingitis in female adolescents. Am J Dis Child 142(9):996–998 Sep Kim S, Kim TU, Lee JW, Lee TH, Lee SH, Jeon TY et al (2007) The perihepatic space: comprehensive anatomy and CT features of pathologic conditions. Radiographics 27(1):129–143 Jan–Feb