Fitz-Hugh-Curtis syndrome: Analysis of CT findings

Tadamasa Yoshitake, Akihiro Nishie, Mtsuura Takashi, Takahashi Shin, Yoshimitsu Kengo, Irie Hiroyuki, Aibe Hitoshi, Tajima Tsuyoshi, Shinosaki Kenji, Tomohiro Nakayama, Daisuke Kakihara, Hiroshi Honda

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Fitz-Hugh-Curtis syndrome (FHCS) is a condition with right upper quadrant pain in association with pelvic inflammatory disease. Invasive procedures such as laparoscopy or laparotomy were indispensable to definite diagnosis of FHCS, and no more useful methods in radiological diagnosis of FHCS has been reported until now. In this present study abdominal enhanced-CT findings were analysed retrospectively in eight cases diagnosed clinically as FHCS. We focused on hepatic capsular enhancement, which was identified on early phase in all cases and on delayed phase in five. Moreover, hepatic capsular enhancement was detected at the anterior surface of medial segment and the lateral aspect of right lobe in all cases, while at the anterior surface of lateral segment in five cases. These findings, which disappeared on follow-up CT after treatment, were thought to reflect "acute" perihepatitis. Abdominal enhanced CT, especially on early phase, is suggested to be a non-invasive, useful modality for the diagnosis of FHCS. When hepatic capsular enhancement is identified in the interpretation of abdominal enhanced CT images in sexually active women who have right upper abdominal pain, we should suspect the possibility of FHCS and examine gynecological findings or the value of IgA and IgG antibodies for Chlamydia trachomatis.

Original languageEnglish
Pages (from-to)303-307
Number of pages5
JournalNippon Acta Radiologica
Volume63
Issue number6
Publication statusPublished - Jul 25 2003

Fingerprint

Liver
Pelvic Inflammatory Disease
Chlamydia trachomatis
Laparoscopy
Laparotomy
Immunoglobulin A
Abdominal Pain
Fitz-Hugh-Curtis syndrome
Immunoglobulin G
Pain
Antibodies
Therapeutics

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Oncology

Cite this

Yoshitake, T., Nishie, A., Takashi, M., Shin, T., Kengo, Y., Hiroyuki, I., ... Honda, H. (2003). Fitz-Hugh-Curtis syndrome: Analysis of CT findings. Nippon Acta Radiologica, 63(6), 303-307.

Fitz-Hugh-Curtis syndrome : Analysis of CT findings. / Yoshitake, Tadamasa; Nishie, Akihiro; Takashi, Mtsuura; Shin, Takahashi; Kengo, Yoshimitsu; Hiroyuki, Irie; Hitoshi, Aibe; Tsuyoshi, Tajima; Kenji, Shinosaki; Nakayama, Tomohiro; Kakihara, Daisuke; Honda, Hiroshi.

In: Nippon Acta Radiologica, Vol. 63, No. 6, 25.07.2003, p. 303-307.

Research output: Contribution to journalArticle

Yoshitake, T, Nishie, A, Takashi, M, Shin, T, Kengo, Y, Hiroyuki, I, Hitoshi, A, Tsuyoshi, T, Kenji, S, Nakayama, T, Kakihara, D & Honda, H 2003, 'Fitz-Hugh-Curtis syndrome: Analysis of CT findings', Nippon Acta Radiologica, vol. 63, no. 6, pp. 303-307.
Yoshitake T, Nishie A, Takashi M, Shin T, Kengo Y, Hiroyuki I et al. Fitz-Hugh-Curtis syndrome: Analysis of CT findings. Nippon Acta Radiologica. 2003 Jul 25;63(6):303-307.
Yoshitake, Tadamasa ; Nishie, Akihiro ; Takashi, Mtsuura ; Shin, Takahashi ; Kengo, Yoshimitsu ; Hiroyuki, Irie ; Hitoshi, Aibe ; Tsuyoshi, Tajima ; Kenji, Shinosaki ; Nakayama, Tomohiro ; Kakihara, Daisuke ; Honda, Hiroshi. / Fitz-Hugh-Curtis syndrome : Analysis of CT findings. In: Nippon Acta Radiologica. 2003 ; Vol. 63, No. 6. pp. 303-307.
@article{b3d71d0f5f514989be6837fd0da71cfa,
title = "Fitz-Hugh-Curtis syndrome: Analysis of CT findings",
abstract = "Fitz-Hugh-Curtis syndrome (FHCS) is a condition with right upper quadrant pain in association with pelvic inflammatory disease. Invasive procedures such as laparoscopy or laparotomy were indispensable to definite diagnosis of FHCS, and no more useful methods in radiological diagnosis of FHCS has been reported until now. In this present study abdominal enhanced-CT findings were analysed retrospectively in eight cases diagnosed clinically as FHCS. We focused on hepatic capsular enhancement, which was identified on early phase in all cases and on delayed phase in five. Moreover, hepatic capsular enhancement was detected at the anterior surface of medial segment and the lateral aspect of right lobe in all cases, while at the anterior surface of lateral segment in five cases. These findings, which disappeared on follow-up CT after treatment, were thought to reflect {"}acute{"} perihepatitis. Abdominal enhanced CT, especially on early phase, is suggested to be a non-invasive, useful modality for the diagnosis of FHCS. When hepatic capsular enhancement is identified in the interpretation of abdominal enhanced CT images in sexually active women who have right upper abdominal pain, we should suspect the possibility of FHCS and examine gynecological findings or the value of IgA and IgG antibodies for Chlamydia trachomatis.",
author = "Tadamasa Yoshitake and Akihiro Nishie and Mtsuura Takashi and Takahashi Shin and Yoshimitsu Kengo and Irie Hiroyuki and Aibe Hitoshi and Tajima Tsuyoshi and Shinosaki Kenji and Tomohiro Nakayama and Daisuke Kakihara and Hiroshi Honda",
year = "2003",
month = "7",
day = "25",
language = "English",
volume = "63",
pages = "303--307",
journal = "Nippon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica",
issn = "0048-0428",
publisher = "Japan Radiological Society",
number = "6",

}

TY - JOUR

T1 - Fitz-Hugh-Curtis syndrome

T2 - Analysis of CT findings

AU - Yoshitake, Tadamasa

AU - Nishie, Akihiro

AU - Takashi, Mtsuura

AU - Shin, Takahashi

AU - Kengo, Yoshimitsu

AU - Hiroyuki, Irie

AU - Hitoshi, Aibe

AU - Tsuyoshi, Tajima

AU - Kenji, Shinosaki

AU - Nakayama, Tomohiro

AU - Kakihara, Daisuke

AU - Honda, Hiroshi

PY - 2003/7/25

Y1 - 2003/7/25

N2 - Fitz-Hugh-Curtis syndrome (FHCS) is a condition with right upper quadrant pain in association with pelvic inflammatory disease. Invasive procedures such as laparoscopy or laparotomy were indispensable to definite diagnosis of FHCS, and no more useful methods in radiological diagnosis of FHCS has been reported until now. In this present study abdominal enhanced-CT findings were analysed retrospectively in eight cases diagnosed clinically as FHCS. We focused on hepatic capsular enhancement, which was identified on early phase in all cases and on delayed phase in five. Moreover, hepatic capsular enhancement was detected at the anterior surface of medial segment and the lateral aspect of right lobe in all cases, while at the anterior surface of lateral segment in five cases. These findings, which disappeared on follow-up CT after treatment, were thought to reflect "acute" perihepatitis. Abdominal enhanced CT, especially on early phase, is suggested to be a non-invasive, useful modality for the diagnosis of FHCS. When hepatic capsular enhancement is identified in the interpretation of abdominal enhanced CT images in sexually active women who have right upper abdominal pain, we should suspect the possibility of FHCS and examine gynecological findings or the value of IgA and IgG antibodies for Chlamydia trachomatis.

AB - Fitz-Hugh-Curtis syndrome (FHCS) is a condition with right upper quadrant pain in association with pelvic inflammatory disease. Invasive procedures such as laparoscopy or laparotomy were indispensable to definite diagnosis of FHCS, and no more useful methods in radiological diagnosis of FHCS has been reported until now. In this present study abdominal enhanced-CT findings were analysed retrospectively in eight cases diagnosed clinically as FHCS. We focused on hepatic capsular enhancement, which was identified on early phase in all cases and on delayed phase in five. Moreover, hepatic capsular enhancement was detected at the anterior surface of medial segment and the lateral aspect of right lobe in all cases, while at the anterior surface of lateral segment in five cases. These findings, which disappeared on follow-up CT after treatment, were thought to reflect "acute" perihepatitis. Abdominal enhanced CT, especially on early phase, is suggested to be a non-invasive, useful modality for the diagnosis of FHCS. When hepatic capsular enhancement is identified in the interpretation of abdominal enhanced CT images in sexually active women who have right upper abdominal pain, we should suspect the possibility of FHCS and examine gynecological findings or the value of IgA and IgG antibodies for Chlamydia trachomatis.

UR - http://www.scopus.com/inward/record.url?scp=0141722821&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0141722821&partnerID=8YFLogxK

M3 - Article

C2 - 12934547

AN - SCOPUS:0141722821

VL - 63

SP - 303

EP - 307

JO - Nippon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica

JF - Nippon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica

SN - 0048-0428

IS - 6

ER -