Fitz-Hugh-Curtis syndrome: multidetector CT findings of transient hepatic attenuation difference and gallbladder wall thickening.
Fitz-Hugh-Curtis syndrome: multidetector CT findings of transient hepatic attenuation difference and gallbladder wall thickening.
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Fitz-Hugh-Curtis 综合征：多排 CT 表现短暂性肝密度差异和胆囊壁增厚。
DOI：
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
A. Fisher
中科院分区：
文献类型：
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作者：
P. Pickhardt;M. Fleishman;A. Fisher
Itz-Hugh-Curtis综合征以右侧腹痛和与盆腔炎相关的“周围肝炎”为特征。合并输卵管炎的局限性右上腹腹膜炎的横断面影像表现应提示诊断。我们报告一例Fitz-Hugh-Curtis综合征，多层螺旋CT显示右肝叶有可逆性动态灌注异常，并伴有胆囊炎性改变。据我们所知，胆囊壁增厚在CT或超声检查中尚未在此综合征中被报道。我们也不知道以前有任何报道描述了肝脏实质内的CT表现，这可能是由于肝周和包膜炎症造成的部分肝静脉流出阻塞。
itz-Hugh‐Curtis syndrome is characterized by right-sided abdominal pain and “perihepatitis” associated with pelvic inflammatory disease. Crosssectional imaging findings of localized right upper quadrant peritonitis associated with salpingitis should suggest the diagnosis. We report a case of Fitz-Hugh‐Curtis syndrome in which multidetector CT showed a reversible dynamic perfusion abnormality in the right hepatic lobe, in addition to pericholecystic inflammatory changes. To our knowledge, gallbladder wall thickening on either CT or sonography has not been previously reported in this syndrome. We are also unaware of any previous reports describing intraparenchymal liver findings on CT, which were likely due to partial hepatic venous outflow obstruction from perihepatic and capsular inflammation.