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

Kimitoshi Kubo; Masanori Ohara; Ryosuke Watanabe; Masayuki Higashino; Momoko Tsuda; Mototsugu Kato

doi:10.1159/000523699

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

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

Authors

Kimitoshi Kubo¹, Masanori Ohara², Ryosuke Watanabe¹, Masayuki Higashino¹, Momoko Tsuda¹, Mototsugu Kato¹

Affiliations

¹ Department of Gastroenterology, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.
² Department of Surgery, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.

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.

Publication types

Case Reports