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菲茨-休-柯蒂斯综合征在计算机断层扫描上导致槟榔肝。

Fitz-Hugh-Curtis syndrome resulting in nutmeg liver on computed tomography.

作者信息

de Boer Jolien P, Verpalen Inez M, Gabriëls Ruben Y, de Haan Harm, Meijssen Maarten, Bloembergen Peter, Meier Mark

机构信息

Department of Gynaecology, Isala hospital, Dokter van Heesweg 2, Zwolle 8025 AB, the Netherlands.

Department of Radiology, Isala hospital, Zwolle, the Netherlands.

出版信息

Radiol Case Rep. 2019 May 24;14(8):930-933. doi: 10.1016/j.radcr.2019.04.008. eCollection 2019 Aug.

Abstract

A 34-year-old woman entered the emergency room with abdominal pain in the right upper quadrant. Computed tomography scan showed a nutmeg liver suspected for increased venous pressure by thrombosis of the liver veins, Budd-Chiari malformation, or right-sided heart failure. Interestingly, the diagnosis was pelvic inflammatory disease complicated by the Fitz-Hugh-Curtis syndrome (FHCS). Pelvic inflammatory disease resulted from an ascended infection by . FHCS was caused by perihepatitis defined as inflammation of the peritoneal capsule of the liver. Fast diagnosis and treatment is crucial. Therefore, we report a case of FHCS characterized by a nutmeg liver on computed tomography.

摘要

一名34岁女性因右上腹疼痛进入急诊室。计算机断层扫描显示肝脏呈槟榔肝,怀疑是肝静脉血栓形成、布加综合征或右心衰竭导致静脉压升高。有趣的是,诊断结果是盆腔炎并发菲茨-休-柯蒂斯综合征(FHCS)。盆腔炎是由[病原体名称未给出]上行感染引起的。FHCS是由肝周炎引起的,肝周炎定义为肝脏包膜的炎症。快速诊断和治疗至关重要。因此,我们报告一例CT表现为槟榔肝的FHCS病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8887/6542378/e177d2addf24/gr1.jpg

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