Mimicker of Fitz-Hugh-Curtis syndrome: A case report of perihepatitis secondary  to sigmoid colonic perforation

Sirote Wongwaisayawan; Pinporn Jenjitranant; Natthawut Jarunnarumol; Goragoch Gesprasert; Nitima Saksobhavivat

doi:10.46475/aseanjr.v22i1.123

Authors

Sirote Wongwaisayawan, M.D. Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand https://orcid.org/0000-0002-3867-7426
Pinporn Jenjitranant, M.D. Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand https://orcid.org/0000-0002-7512-787X
Natthawut Jarunnarumol, M.D. Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Goragoch Gesprasert, M.D., Ph.D. Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Nitima Saksobhavivat, M.D. Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand https://orcid.org/0000-0002-0789-7792

DOI:

https://doi.org/10.46475/aseanjr.v22i1.123

Keywords:

Perihepatitis syndrome, Sigmoid colon, Intestinal perforation, Fitz-Hugh-Curtis syndrome

Abstract

Perihepatitis is an uncommon condition defined as the inflammation of the peritoneal liver capsule. It is more commonly known as Fitz-Hugh-Curtis syndrome, a rare condition characterized by the inflammation of the peritoneum and tissue around the liver. This syndrome is usually associated with pelvic inflammatory disease (PID). However, PID is not always the cause of perihepatitis. We reported a rare case of perihepatitis which occurs secondarily to sigmoid colonic perforation.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Fitz-Hugh T. Jr. Acute gonococcic peritonitis of the right upper quadrant in women.JAMA 1934;102:2094-6.

Curtis AH. A cause of adhesions in the right upper quadrant. JAMA 1930;94.1221-2.

Kim S, Kim TU, Lee JW, Lee TH, Lee SH, Jeon TY, et al. The perihepatic space: comprehensive anatomy and CT features of pathologic conditions. Radiographics 2007;27:129-43. doi: 10.1148/rg.271065050.

Tsubuku M, Hayashi S, Terahara A, Furukawa T, Ohmura G. Fitz-Hugh-Curtis syndrome: linear contrast enhancement of the surface of the liver on CT. J Comput Assist Tomogr 2002;26:456-8. doi: 10.1097/00004728-200205000-00025.

Nishie A, Yoshimitsu K, Irie H, Yoshitake T, Aibe H, Tajima T, et al. Fitz-Hugh-Curtis syndrome. Radiologic manifestation. J Comput Assist Tomogr 2003;27:786-91. doi: 10.1097/00004728-200309000-00017.

Joo SH, Kim MJ, Lim JS, Kim JH, Kim KW. CT Diagnosis of Fitz-Hugh and Curtis Syndrome: value of the arterial phase scan. Korean J Radiol 2007;8:40-7. doi: 10.3348/kjr.2007.8.1.40.

Hainaux B, Agneessens E, Bertinotti R, De Maertelaer V, Rubesova E, Capelluto E, et al. Accuracy of MDCT in predicting site of gastrointestinal tract perforation. AJR Am J Roentgenol 2006;187:1179-83. doi: 10.2214/AJR.05.1179.

Catalano O. [Computed tomography in the study of gastrointestinal perforation]. Radiol Med 1996;91:247-52. Italian.

Singh JP, Steward MJ, Booth TC, Mukhtar H, Murray D. Evolution of imaging for abdominal perforation. Ann R Coll Surg Engl 2010;92:182-8. doi: 10.1308/003588410X12664192075251.

Pannu HK, Oliphant M. The subperitoneal space and peritoneal cavity: basic concepts. Abdom Imaging 2015;40:2710-22. doi: 10.1007/s00261-015-0429-5.

Schoenwaelder M, Stuckey SL. Perihepatitis associated with systemic lupus erythematosus: computed tomography findings. Australas Radiol 2005;49:179-81. doi: 10.1111/j.1440-1673.2005.01370.x.