Fitz-HughCurtis 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-HughCurtis 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-HughCurtis 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-HughCurtis 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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Copyright © 2003 by the American Roentgen Ray Society.