Fitz-Hugh-Curtis syndrome: CT findings of three cases.
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.
Cho
Hyeon Je
HJ
Department of Diagnostic Radiology, Inje University College of Medicine, Seoul Paik Hospital, #85, 2-Ga, Jeo-dong, Jung-Gu, Seoul, South Korea, 100-032. meditererian@hanmail.net
Kim
Ho Kyun
HK
Suh
Jung Ho
JH
Lee
Ghi Jai
GJ
Shim
Jae-Chan
JC
Kim
Young Hwa
YH
D015746:Abdominal Pain / Q000000981:diagnostic imaging*; D000328:Adult; D005260:Female; D006505:Hepatitis / Q000150:complications / Q000000981:diagnostic imaging* / Q000382:microbiology; D006801:Humans; D000292:Pelvic Inflammatory Disease / Q000150:complications* / Q000000981:diagnostic imaging*; D013577:Syndrome; D000267:Tissue Adhesions / Q000150:complications / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed