Analysis of Hepatic Capsular Enhancement Mimicking the Fitz-Hugh-Curtis Syndrome on a Multidetector Computed Tomography
Journal of the Korean Radiological Society
;
: 277-282, 2008.
Article
in Korean
| WPRIM
| ID: wpr-169230
ABSTRACT
PURPOSE:
To determine the associated diseases causing hepatic capsular enhancement and analyze the relationship of the capsular enhancement patterns as a function of the associated diseases. MATERIALS ANDMETHODS:
We retrospectively reviewed 797 patients having undergone arterial phase abdominal CT scans. Among these images, 47 patients showed hepatic capsular enhancement (13 men and 34 women; mean age 53.1; age range 5-91 years). We investigated if there was a correlation between the pattern of hepatic capsular enhancement and cause of disease. When the hepatic capsular enhancement was found to persist until the portal phase, the symptom duration was evaluated.RESULTS:
Hepatic capsular enhancements were presented in 5.9% (47/797) of the arterial phase abdominal CT scans. Six patients (12.8%) were diagnosed with Fitz-Hugh-Curtis syndrome. The other causes of hepatic capsular enhancement included 20 cases of inflammation, 13 cases of malignancy, and 8 cases of other diseases. The extent of the hepatic capsular enhancement was not significantly different among the causes of disease. In thirty two of 47 patients (68.1%), hepatic capsular enhancement persisted until the portal phase images.CONCLUSION:
Hepatic capsular enhancement on an arterial phase is a nonspecific imaging finding observed in the Fitz-Hugh-Curtis syndrome as well as a variety of other diseases. A CT is useful in finding the hepatic capsular enhancement and determining the accompanying disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritonitis
/
Chlamydia Infections
/
Retrospective Studies
/
Pelvic Inflammatory Disease
/
Multidetector Computed Tomography
/
Hepatitis
/
Inflammation
/
Liver
Type of study:
Observational study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Radiological Society
Year:
2008
Type:
Article
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