Analysis of Hepatic Capsular Enhancement Mimicking the Fitz-Hugh-Curtis Syndrome on a Multidetector Computed Tomography.
10.3348/jkrs.2008.58.3.277
- Author:
Ji Sang PARK
1
;
Seong Jin PARK
;
Hae Kyung LEE
;
Boem Ha YI
;
Hyun Sook HONG
;
Jang Gyu CHA
;
Hoon LIM
Author Information
1. Department of Radiology, Soonchunhyang University Bucheon Hospital, Korea. indawn@hanafos.com
- Publication Type:Original Article
- Keywords:
Computed tomography (CT);
Liver;
Pelvic inflammatory diseases
- MeSH:
Chlamydia Infections;
Female;
Hepatitis;
Humans;
Inflammation;
Liver;
Male;
Multidetector Computed Tomography;
Pelvic Inflammatory Disease;
Peritonitis;
Retrospective Studies
- From:Journal of the Korean Radiological Society
2008;58(3):277-282
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To determine the associated diseases causing hepatic capsular enhancement and analyze the relationship of the capsular enhancement patterns as a function of the associated diseases. MATERIALS AND METHODS: We retrospectively reviewed 797 patients having undergone arterial phase abdominal CT scans. Among these images, 47 patients showed hepatic capsular enhancement (13 men and 34 women; mean age: 53.1; age range: 5-91 years). We investigated if there was a correlation between the pattern of hepatic capsular enhancement and cause of disease. When the hepatic capsular enhancement was found to persist until the portal phase, the symptom duration was evaluated. RESULTS: Hepatic capsular enhancements were presented in 5.9% (47/797) of the arterial phase abdominal CT scans. Six patients (12.8%) were diagnosed with Fitz-Hugh-Curtis syndrome. The other causes of hepatic capsular enhancement included 20 cases of inflammation, 13 cases of malignancy, and 8 cases of other diseases. The extent of the hepatic capsular enhancement was not significantly different among the causes of disease. In thirty two of 47 patients (68.1%), hepatic capsular enhancement persisted until the portal phase images. CONCLUSION: Hepatic capsular enhancement on an arterial phase is a nonspecific imaging finding observed in the Fitz-Hugh-Curtis syndrome as well as a variety of other diseases. A CT is useful in finding the hepatic capsular enhancement and determining the accompanying disease.
