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Fitz-Hugh-Curtis syndrome: clinical diagnostic value of dynamic enhanced MSCT.

Wang PY, Zhang L, Wang X, Liu XJ, Chen L, Wang X, Wang B - J Phys Ther Sci (2015)

Bottom Line: [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.

View Article: PubMed Central - PubMed

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.

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.

No MeSH data available.


Related in: MedlinePlus

A 27-year-old married woman with right upper abdominal pain for 3 days. A. Plainscan: visible uniform thickening of the liver capsule within a background of fattyliver, with slightly higher intensity than the liver parenchyma; B. Arterial phase:thickened liver capsule is obviously enhanced; C. Portal vein phase: the degree ofliver capsule enhancement has decreased; D. Delay period phase: liver capsule isenhanced similarly to liver parenchyma, with no clear boundary.
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fig_001: A 27-year-old married woman with right upper abdominal pain for 3 days. A. Plainscan: visible uniform thickening of the liver capsule within a background of fattyliver, with slightly higher intensity than the liver parenchyma; B. Arterial phase:thickened liver capsule is obviously enhanced; C. Portal vein phase: the degree ofliver capsule enhancement has decreased; D. Delay period phase: liver capsule isenhanced similarly to liver parenchyma, with no clear boundary.

Mentions: An MSCT scan of the liver capsule showed different degrees of thickening, 13 cases oflinear or zonal homogeneous thickness, and six cases of inhomogeneous thickness withslightly increased density within the background of fatty liver (Fig. 1AFig. 1.


Fitz-Hugh-Curtis syndrome: clinical diagnostic value of dynamic enhanced MSCT.

Wang PY, Zhang L, Wang X, Liu XJ, Chen L, Wang X, Wang B - J Phys Ther Sci (2015)

A 27-year-old married woman with right upper abdominal pain for 3 days. A. Plainscan: visible uniform thickening of the liver capsule within a background of fattyliver, with slightly higher intensity than the liver parenchyma; B. Arterial phase:thickened liver capsule is obviously enhanced; C. Portal vein phase: the degree ofliver capsule enhancement has decreased; D. Delay period phase: liver capsule isenhanced similarly to liver parenchyma, with no clear boundary.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499951&req=5

fig_001: A 27-year-old married woman with right upper abdominal pain for 3 days. A. Plainscan: visible uniform thickening of the liver capsule within a background of fattyliver, with slightly higher intensity than the liver parenchyma; B. Arterial phase:thickened liver capsule is obviously enhanced; C. Portal vein phase: the degree ofliver capsule enhancement has decreased; D. Delay period phase: liver capsule isenhanced similarly to liver parenchyma, with no clear boundary.
Mentions: An MSCT scan of the liver capsule showed different degrees of thickening, 13 cases oflinear or zonal homogeneous thickness, and six cases of inhomogeneous thickness withslightly increased density within the background of fatty liver (Fig. 1AFig. 1.

Bottom Line: [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.

View Article: PubMed Central - PubMed

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.

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.

No MeSH data available.


Related in: MedlinePlus