CT manifestations of Fitz-Hugh-Curtis syndrome
10.13929/j.issn.1003-3289.2025.03.018
- VernacularTitle:Fitz-Hugh-Curtis综合征CT表现
- Author:
Zhaohong YANG
1
;
Fan ZHANG
;
Shulin MA
;
Weijian YUN
;
Jian LING
;
Rongjing WANG
;
Jian GUAN
Author Information
1. 福州市第二总医院放射科,福建 福州 350007;中山大学附属第一医院医学影像科,广东 广州 510080
- Publication Type:Journal Article
- Keywords:
Fitz-Hugh-Curtis syndrome;
tomography,X-ray computed
- From:
Chinese Journal of Medical Imaging Technology
2025;41(3):434-438
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe CT manifestations of Fitz-Hugh-Curtis syndrome(FHCS).Methods Data of 23 patients with FHCS were retrospectively analyzed,and non-enhanced and enhanced abdominal and pelvic CT manifestations were observed.Results All 23 cases were found with pelvic inflammation,peritonitis,perihepatic inflammation,as well as abdominal and pelvic adhesion.The main manifestations of pelvic inflammation included pelvic effusion(23/23,100％),inflammatory changes of uterus and accessories(17/23,73.91％),and the latter presented as tubal thickening(8/17,47.06％)or tubal cystic dilatation and effusion(9/17,52.94％),with ovarian enlargement(8/9,88.89％)or nodules on uterine surface(1/9,11.11％).The main CT manifestations of peritonitis were peritoneal thickening(23/23,100％)and peritoneal nodules(15/23,65.22％),of perihepatic inflammation were mainly liver capsule enhancement(23/23,100％),subcapsular transient perfusion abnormality(16/23,69.57％),perihepatic effusion(20/23,86.96％)and perihepatic"violin-string sign"(16/23,69.57％).No inflammation in the bare area of liver was noticed.Among 23 cases,3 cases(3/23,13.04％)complicated with mechanical ileus,19 cases(19/23,82.61％)were accompanied by mesenteric or retroperitoneal lymph nodes enlargement with uniform or circular enhancement.Conclusion The main CT manifestations of FHCS included pelvic inflammation,peritonitis,perihepatic inflammation,as well as abdominal and pelvic adhesion,having certain characteristics.
