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Fitz-Hugh–Curtis Syndrome: Multidetector CT Findings of Transient Hepatic Attenuation Difference and Gallbladder Wall Thickening

Perry J. Pickhardt1,2, Matthew J. Fleishman3 and Andrew J. Fisher3

1 Department of Radiology, National Naval Medical Center, 8901 Wisconsin Ave., Bethesda, MD 20889-5600.
2 Department of Radiology, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814.
3 Radiology Imaging Associates, Ste. 250, 3900 S. Wadsworth Blvd., Lakewood, CO 80235.



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  		Fig. 1A. —18-year-old woman with right-sided abdominal symptoms from Fitz-Hugh–Curtis syndrome. Axial contrast-enhanced CT scan obtained through pelvis shows soft-tissue fullness in right adnexal region with indistinct borders (arrowheads). No discernable cyst, mass, or free fluid is seen in pelvis. Although not diagnostic, CT findings are compatible with salpingitis. Left ovary appears normal.

 


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  		Fig. 1B. —18-year-old woman with right-sided abdominal symptoms from Fitz-Hugh–Curtis syndrome. Axial contrast-enhanced CT scan obtained through upper abdomen during portal venous phase shows diffuse gallbladder wall thickening and surrounding low-attenuation fluid or inflammation (arrow). Note also geographic region of heterogeneously decreased enhancement involving posterior segment of right hepatic lobe (arrowheads).

 


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  		Fig. 1C. —18-year-old woman with right-sided abdominal symptoms from Fitz-Hugh–Curtis syndrome. Axial contrast-enhanced CT scan obtained at level similar to that of B during delayed phase shows resolution of hepatic parenchymal attenuation difference, including normal opacification of right posterior hepatic veins. Gallbladder wall thickening and pericholecystic inflammation (arrow) are even more conspicuous on this phase.

 

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