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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 23-year-old unmarried woman with right upper quadrant abdominal pain for 7 days wasdiagnosed with acute pelvic inflammatory disease. A. Arterial phase: the liver capsuleis a homogeneously thickened strip, with obvious enhancement (arrow), and shows asub-capsular parenchymal triangle abnormally enhanced zone (asterisk); B. Portalvenous phase, C. Delayed phase, liver capsule and the involved hepatic parenchymaenhancement not displayed clearly.
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fig_002: A 23-year-old unmarried woman with right upper quadrant abdominal pain for 7 days wasdiagnosed with acute pelvic inflammatory disease. A. Arterial phase: the liver capsuleis a homogeneously thickened strip, with obvious enhancement (arrow), and shows asub-capsular parenchymal triangle abnormally enhanced zone (asterisk); B. Portalvenous phase, C. Delayed phase, liver capsule and the involved hepatic parenchymaenhancement not displayed clearly.

Mentions: Dynamic enhanced MSCT scanning of the arterial phase in the liver capsule showed differentdegrees of thickening, in which significant enhancement was seen in 17 cases and slightenhancement in two; in the portal venous phase and delayed phase, the degree of enhancementof liver capsule thickening decreased compared to that in the arterial phase, which wassimilar to the normal liver parenchyma (Fig.1B–1D); and five cases of adjacent hepatic parenchymal involvement showed patchy ortriangular enhancement with no clear boundary with a thickened liver capsule, while theportal venous and delayed phases were not clearly visible (Fig. 2Fig. 2.


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 23-year-old unmarried woman with right upper quadrant abdominal pain for 7 days wasdiagnosed with acute pelvic inflammatory disease. A. Arterial phase: the liver capsuleis a homogeneously thickened strip, with obvious enhancement (arrow), and shows asub-capsular parenchymal triangle abnormally enhanced zone (asterisk); B. Portalvenous phase, C. Delayed phase, liver capsule and the involved hepatic parenchymaenhancement not displayed clearly.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig_002: A 23-year-old unmarried woman with right upper quadrant abdominal pain for 7 days wasdiagnosed with acute pelvic inflammatory disease. A. Arterial phase: the liver capsuleis a homogeneously thickened strip, with obvious enhancement (arrow), and shows asub-capsular parenchymal triangle abnormally enhanced zone (asterisk); B. Portalvenous phase, C. Delayed phase, liver capsule and the involved hepatic parenchymaenhancement not displayed clearly.
Mentions: Dynamic enhanced MSCT scanning of the arterial phase in the liver capsule showed differentdegrees of thickening, in which significant enhancement was seen in 17 cases and slightenhancement in two; in the portal venous phase and delayed phase, the degree of enhancementof liver capsule thickening decreased compared to that in the arterial phase, which wassimilar to the normal liver parenchyma (Fig.1B–1D); and five cases of adjacent hepatic parenchymal involvement showed patchy ortriangular enhancement with no clear boundary with a thickened liver capsule, while theportal venous and delayed phases were not clearly visible (Fig. 2Fig. 2.

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