EURORAD ESR

Case 13467

Fitz Hugh Curtis syndrome

Author(s)
Baglietto Marta, Secondini Lucia, Del Prato Alberto, Saporiti Romina, Perinetti Michela, Neumaier Carlo Emanuele

IRCSS A.O.U. "San Martino"
IST, Scuola di Specializzazione in Radiodiagnostica;
Via L.B. Alberti, 4 Genova, Italy;
Email:lucyeah@hotmail.it
 
Patient
female, 20 year(s)
 
 
  • Figure 1
    Salpingitis

    Contrast-enhanced CT scan (portal phase) shows uterus (blue arrow), ovaries (red arrows) and the dilated right fallopian tube with thick walls and lumen filled with fluid (green arrow).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Inflammation;
     
     
  • Figure 2
    Hepatic enhancement

    Arterial phase of dynamic CT scan shows linear contrast enhancement of the hepatic margin (arrow) due to inflammation of the perihepatic capsule. Liver parenchyma is normal.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Inflammation;
     
     
  • Figure 3
    Hepatic enhancement

    Arterial phase of dynamic CT in coronal plane. Same findings as in Figure 2.

     
    Area of Interest: Liver; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Inflammation;
     
     
  • Figure 4
    Pelvis CT scan

    In the video, a small amount of fluid in the Douglas space was also detected, with peritoneal contrast enhancement.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Inflammation;
     
     
  • Figure 5
    Liver and pelvis

    Coronal CT scan reveals both hepatic marginal enhancement and right pyosalpinx (arrows) in the setting of PID.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Inflammation;
     
     
Contrast-enhanced CT scan (portal phase) shows uterus (blue arrow), ovaries (red arrows) and the dilated right fallopian tube with thick walls and lumen filled with fluid (green arrow).
 
Arterial phase of dynamic CT scan shows linear contrast enhancement of the hepatic margin (arrow) due to inflammation of the perihepatic capsule. Liver parenchyma is normal.
 
Arterial phase of dynamic CT in coronal plane. Same findings as in Figure 2.
 
In the video, a small amount of fluid in the Douglas space was also detected, with peritoneal contrast enhancement.
 
Coronal CT scan reveals both hepatic marginal enhancement and right pyosalpinx (arrows) in the setting of PID.
 
 
 
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