Fitz-Hugh-Curtis syndrome resulting in nutmeg liver on computed tomography

Jolien P. de Boer, MD; Inez M. Verpalen, MD; Ruben Y. Gabriëls, MD; Harm de Haan, MD, PhD; Maarten Meijssen, MD, PhD; Peter Bloembergen, MD, PhD; Mark Meier, MD

Radiology Case Reports (Aug 2019)

Fitz-Hugh-Curtis syndrome resulting in nutmeg liver on computed tomography

Jolien P. de Boer, MD,
Inez M. Verpalen, MD,
Ruben Y. Gabriëls, MD,
Harm de Haan, MD, PhD,
Maarten Meijssen, MD, PhD,
Peter Bloembergen, MD, PhD,
Mark Meier, MD

Affiliations

Jolien P. de Boer, MD: Department of Gynaecology, Isala hospital, Dokter van Heesweg 2, Zwolle 8025 AB, the Netherlands; Corresponding author.
Inez M. Verpalen, MD: Department of Radiology, Isala hospital, Zwolle, the Netherlands
Ruben Y. Gabriëls, MD: Department of Gastroenterology, Isala hospital, Zwolle, the Netherlands
Harm de Haan, MD, PhD: Department of Gynaecology, Isala hospital, Dokter van Heesweg 2, Zwolle 8025 AB, the Netherlands
Maarten Meijssen, MD, PhD: Department of Gastroenterology, Isala hospital, Zwolle, the Netherlands
Peter Bloembergen, MD, PhD: Laboratory of Medical Microbiology and Infectious Diseases, Isala hospital, Zwolle, the Netherlands
Mark Meier, MD: Department of Radiology, Isala hospital, Zwolle, the Netherlands

Journal volume & issue: Vol. 14, no. 8
pp. 930 – 933

Abstract

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A 34-year-old woman entered the emergency room with abdominal pain in the right upper quadrant. Computed tomography scan showed a nutmeg liver suspected for increased venous pressure by thrombosis of the liver veins, Budd-Chiari malformation, or right-sided heart failure. Interestingly, the diagnosis was pelvic inflammatory disease complicated by the Fitz-Hugh-Curtis syndrome (FHCS).Pelvic inflammatory disease resulted from an ascended infection by Chlamydia trachomatis. FHCS was caused by perihepatitis defined as inflammation of the peritoneal capsule of the liver. Fast diagnosis and treatment is crucial. Therefore, we report a case of FHCS characterized by a nutmeg liver on computed tomography. Keywords: Fitz-Hugh-Curtis syndrome, Perihepatitis, Hepatomegaly, Nutmeg liver, Pelvic Inflammatory disease, Chlamydia trachomatis

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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