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- Title
Fitz-Hugh-Curtis Syndrome Presenting as Perihepatic and Subcapsular Enhancement on MRI.
- Authors
Kubo, Kimitoshi; Ohara, Masanori; Watanabe, Ryosuke; Higashino, Masayuki; Tsuda, Momoko; Kato, Mototsugu
- Abstract
Fitz-Hugh-Curtis syndrome (FHCS) is a rare complication of pelvic inflammatory disease and its MRI findings remain poorly described. A 34-year-old woman was raced to our hospital with slight fever and severe right upper quadrant pain. Gadoxetic acid-enhanced magnetic resonance imaging revealed high-intensity regions in the surface and subcapsule of the right liver on T2-weighted imaging and on diffusion-weighted imaging. A definitive diagnosis of FHCS was confirmed based on high titers of serum IgA and IgG antibodies to Chlamydia trachomatis. She was treated with oral azithromycin and discharged 6 days after admission with improvement of her symptoms. To our knowledge, this report represents a valuable addition to the FHCS literature describing MRI findings in the early stage of FHCS onset.
- Subjects
DIFFUSION magnetic resonance imaging; MAGNETIC resonance imaging; PELVIC inflammatory disease; CHLAMYDIA trachomatis; SYNDROMES
- Publication
Case Reports in Gastroenterology, 2022, Vol 16, Issue 1, p235
- ISSN
1662-0631
- Publication type
Case Study
- DOI
10.1159/000523699