Breast Imaging: ORIGINAL ARTICLEFitz-Hugh-Curtis Syndrome: Radiologic ManifestationNishie, Akihiro MD; Yoshimitsu, Kengo MD; Irie, Hiroyuki MD; Yoshitake, Tadamasa MD; Aibe, Hitoshi MD; Tajima, Tsuyoshi MD; Shinozaki, Kenji MD; Nakayama, Tomohiro MD; Kakihara, Daisuke MD; Matsuura, Takashi MD; Takahashi, Makoto MD; Kamochi, Noriyuki MD; Onitsuka, Hideo MD; Honda, Hiroshi MDAuthor Information From the Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Maidashi, Higashi-ku Fukuoka, Japan (Drs Nishie, Yoshimitsu, Irie, Yoshitake, Aibe, Tajima, Shinozaki, Nakayama, Kakihara, and Honda); the Department of Radiology, Hamanomachi Hospital, Maizuru, Chuo-ku Fukuoka; Japan (Drs Matsuura and Takahashi); and the Department of Radiology, Tanushimaru Central Hospital, Masuoda Tanushimaru-cho, Ukiha-gun Fukuoka, Japan (Drs Kamochi and Onitsuka). Reprints: Dr. A. Nishie, Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku Fukuoka, 812–8582, Japan. (e-mail: email@example.com). This study was partly supported by a grant of the Akaeda Medical Research Foundation. Journal of Computer Assisted Tomography: September-October 2003 - Volume 27 - Issue 5 - p 786-791 Buy Abstract Objectives To clarify radiologic findings of Fitz-Hugh-Curtis syndrome (FHCS). Methods Thirteen women with right upper abdominal pain who were clinically diagnosed with FHCS were included. Biphasic helical computed tomography (CT) of the abdomen was performed in all patients. Posttherapeutic follow-up CT was available in 7 patients. Ultrasonography (US) was also performed in 12 patients. These imaging findings were reviewed retrospectively. Results On enhanced CT, hepatic and splenic capsular enhancement was identified in 13 and 4 patients, respectively. Hepatic capsular enhancement on the early phase, which was detected in all patients, disappeared after treatment. No adhesive band or fluid collection around the liver was evident. No enhancement of the “bare area” of the liver and spleen was seen. No definite abnormality of the liver or perihepatic region was detected by US. Conclusions Hepatic and splenic capsular enhancement on abdominal enhanced CT may be characteristic of FHCS. Enhanced CT may be a useful and noninvasive modality to help a diagnosis of FHCS, especially in young women with right upper abdominal pain without significant findings on US and gastrointestinal endoscopy. © 2003 Lippincott Williams & Wilkins, Inc.