Fitz-Hugh-Curtis 증후군의 방사선학적 소견 = Radiogic Findings of Fitz-Hugh-Curtis Syndrome

다국어 초록 (Multilingual Abstract)

Purpose: The goals of this study are to evaluate and to analyze radiologic findings of Fitz-Hugh-Curtis syndrome (FHCS). Materials and Methods: Eight women with right upper abdominal pain who were radiologically diagnosed with FHCS were included. Abdominal ultrasonography (US) and dynamic computed tomography (CT) of the abdomen with triphasic (arterial, Portal, and delayed phases) scans were performed in all patients. We reviewed patterns and sites of enhancement and combined another radiologic findings. Follow-up CT was available in 1 patient. Results: On enhanced CT, hepatic and splenic capsular enhancement was identified in 8 and 7 patients, respectively. Hepatic capsular enhancement on the early phase, which was detected in all patients, disappeared after treatment (n=1). No adhesive band or fluid collection around the liver was evident. No enhancement of the "bare area" of the liver and spleen was seen. Combined radiological abnormalities in abdomen and pelvis are hepatic hemangioma (n=1), myoma and polyP (n=1), Pelvic inflammation (n=4), and ovarian cyst (n=4). Abnormalities detected by US are hepatic hemangioma (n=1), Peritonitis (n=1), and ovarian cyst (n=2). Conclusion: Hepatic and splenic capsular enhancement on abdominal enhanced CT may be characteristic of FHCS. Enhanced CT may be a useful and noninvasive modality to help a di- agnosis of FHCS, especially in young women with right upper abdominal pain without significant findings on abdominal US and gastrointestinal endoscopy.