Kubo Kimitoshi, Ohara Masanori, Watanabe Ryosuke, Higashino Masayuki, Tsuda Momoko, Kato Mototsugu
Department of Gastroenterology, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.
Department of Surgery, National Hospital Organization Hakodate National Hospital, Hakodate, Japan.
Case Rep Gastroenterol. 2022 Mar 31;16(1):235-239. doi: 10.1159/000523699. eCollection 2022 Jan-Apr.
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 . 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.
菲茨-休-柯蒂斯综合征（FHCS）是盆腔炎的一种罕见并发症，其MRI表现仍描述甚少。一名34岁女性因低热和严重右上腹疼痛被紧急送往我院。钆塞酸增强磁共振成像显示，在T2加权成像和扩散加权成像上，右肝表面和包膜下有高强度区域。根据针对[具体病原体]的血清IgA和IgG抗体高滴度确诊为FHCS。她接受了口服阿奇霉素治疗，入院6天后症状改善出院。据我们所知，本报告为FHCS文献增添了有价值的内容，描述了FHCS发病早期的MRI表现。
