title: Fitz-Hugh-Curtis syndrome: clinical diagnostic value of dynamic enhanced MSCT.
abstract: [Purpose] This study aimed to investigate the clinical diagnostic value of dynamic enhanced multislice computed tomography (MSCT) for Fitz-Hugh-Curtis syndrome (FHCS). [Subjects and Methods] This study retrospectively analyzed the clinical features and manifestations of scanning and dynamic enhanced MSCT in 19 patients with FHCS. [Results] MSCT scans showed different degrees of liver capsule thickness in the lesion area: seven cases of sub-capsular effusion and three cases with a small amount of pleural effusion; thickness of the liver capsular arterial phase showing significant enhancement in 17 cases, and slight enhancement in two; portal venous and delayed phase enhancement decreased with no clear boundary of the liver parenchyma; and adjacent hepatic parenchymal involvement in five cases, in which the arterial phase appeared to have patchy or triangular enhancement, and unclear portal vein and delayed phase imaging findings. MSCT revealed pelvic inflammatory disease in 14 cases, peritonitis in two, endometritis combined with bilateral ovarian abscesses in two, and a tube-ovarian abscess in one. [Conclusion] Dynamic enhanced MSCT can accurately display liver capsule lesions and possible pelvic inflammatory diseases related to FHCS, suggest the infection source, and have high application value for making early, accurate diagnoses and improved prognosis.
authors.affiliation: Shandong Medical Imaging Research Institute, Shandong University, China ; Department of Radiology, Affiliated Hospital of Binzhou Medical University, China ; Medical Imaging Research Institute, Binzhou Medical University, China.
authors.forename: Pei-Yuan
authors.initials: PY
authors.lastname: Wang
authors.affiliation: Shandong Medical Imaging Research Institute, Shandong University, China ; Department of Radiology, Affiliated Hospital of Binzhou Medical University, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Zhang
authors.affiliation: Medical Imaging Research Institute, Binzhou Medical University, China.
authors.forename: Xia
authors.initials: X
authors.lastname: Wang
authors.affiliation: Department of Radiology, Affiliated Hospital of Binzhou Medical University, China.
authors.forename: Xin-Jiang
authors.initials: XJ
authors.lastname: Liu
authors.affiliation: Department of Radiology, Affiliated Hospital of Binzhou Medical University, China.
authors.forename: Liang
authors.initials: L
authors.lastname: Chen
authors.affiliation: Department of Radiology, Affiliated Hospital of Binzhou Medical University, China.
authors.forename: Xu
authors.initials: X
authors.lastname: Wang
authors.affiliation: Medical Imaging Research Institute, Binzhou Medical University, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Wang
keywords: Perihepatitis; Tomography; X-ray compute