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Ǵм Yeungnam Univ J Med 2018;35(1):127-129

CASE REPORT

Ultrasonographic findings in Fitz-Hugh-Curtis syndrome: a thickened or three-layer hepatic capsule

You Ho Moon1, Jung ho Kim2, Won joon Jeong3, Sin-Youl Park2
1Department of Emergency Medicine, Daegu Fatima Hospital, Daegu; 2Department of Emergency Medicine, Yeungnam University
College of Medicine, Daegu; 3Department of Emergency Medicine, Chungnam National University Hospital, Daejeon, Korea
Corresponding Author: Sin-Youl Park, Department of Emergency Medicine, Yeungnam University College of Medicine, 170, Hyeonchung-ro, Nam-gu, Daegu 42415, Korea
Tel: +82-53-620-3626, Fax: +82-53-623-8030
E-mail: dryuri@naver.com

Received: April 24, 2018, Revised: April 29, 2018 Accepted: April 30, 2018

Abstract

Fitz-Hugh-Curtis syndrome (FHCS) is characterized by inflammation of the perihepatic capsules associated with the pelvic inflammatory disease (PID). FHCS is not a serious disease, but if not treated properly, it can result in increased medical costs, prolonged treatment, and dissatisfaction with treatment. However, early recognition of FHCS in the emergency department can be difficult because its symptoms or physical findings may mimic many other diseases. Although contrast-enhanced computed tomography (CECT) is the useful imaging modality for recognition of FHCS, it is available only when a high suspicion is established. We performed point-of-care ultrasonography in an 18-year-old woman who had a sharp right upper quadrant (RUQ) abdominal pain without PID symptoms and found a thickened or three-layer hepatic capsule. These findings coincided with areas showing increased hepatic capsular enhancement in the arterial phase of CECT. These results show that if the thickened or three-layer hepatic capsule without evidence of a common cause of RUQ pain is observed on ultrasonography in women of childbearing age with RUQ abdominal pain, the physician can consider the possibility of FHCS.

Key Words: Keywords: Pelvic inflammatory disease; Ultrasonography; Abdominal pain

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