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Case Reports
. 2022 Mar 31;16(1):235-239.
doi: 10.1159/000523699. eCollection 2022 Jan-Apr.

Fitz-Hugh-Curtis Syndrome Presenting as Perihepatic and Subcapsular Enhancement on MRI

Kimitoshi Kubo  1 , Masanori Ohara  2 , Ryosuke Watanabe  1 , Masayuki Higashino  1 , Momoko Tsuda  1 , Mototsugu Kato  1
Affiliations
Case Reports

Fitz-Hugh-Curtis Syndrome Presenting as Perihepatic and Subcapsular Enhancement on MRI

Kimitoshi Kubo et al. Case Rep Gastroenterol. .

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.

Keywords: Chlamydia trachomatis; Fitz-Hugh-Curtis syndrome; MRI.

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Conflict of interest statement

The authors have no conflicts of interest to disclose in association with this study.

Figures

Fig. 1
Fig. 1
CT showed no findings on the surface of the liver (a), but slight ascites in Morrison's pouch (b).
Fig. 2
Fig. 2
Gd-EOB-MRI studies revealed high-intensity regions in the surface and subcapsule of the right liver on T2WI (a) and on DWI (b). Gd-EOB-MRI, gadoxetic acid-enhanced magnetic resonance imaging.
See this image and copyright information in PMC

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