Hepatic capsular enhancement on contrast-enhanced computed tomography (CT) is regarded as a typical finding of the Fitz-Hugh-Curtis syndrome. Nevertheless, similar hepatic capsular enhancement may occur in peritoneal carcinomatosis.
Clinical picture
A 67-year-old man presented with diffuse abdominal pain. CT showed hepatic capsular enhancement and a mass in the sigmoid colon.
Treatment
As the patient was inoperable, supportive care was provided.
Outcome
He was transferred to a regional hospital for hospice care.
Conclusion
When we see a patient with hepatic capsular enhancement on contrast-enhanced CT, we should seek other causes of perihepatitis, in addition to the Fitz-Hugh-Curtis syndrome.
CurtisA.H.A cause of adhesions in the right upper quadrant. JAMA1930; 94(16): 1221–2.
2.
CurtisA.H.Adhesions of the anterior surface of the liver. JAMA1932; 99(24): 2010–2.
3.
Fitz-HughT.Acute gonococcic peritonitis of the right upper quadrant in women. JAMA1934; 102(25): 2094–6.
4.
Müller-SchoopJ.W., WangS.P., MunzingerJ., SchläpferH.U., KnoblauchM., TammannR.W.Chlamydia trachomatis as possible cause of peritonitis and perihepatitis in young women. Br Med J1978; 1(6119): 1022–4.
5.
OhJ.H., ChoY.S., ChoiY.H., LeeH.S.A diagnostic utility of Fitz-Hugh-Curtis syndrome by using contrast enhanced abdominopelvic computerized tomography. Korean Soc Emerg Med2005; 16(4): 410–5.
6.
ChungH.J., ChoiH.Y., ChoY.J., HanK.H., KimY.D., JungS.M.Ten cases of Fitz-Hugh-Curtis syndrome. Korean J Gastroenterol2007; 50(5): 328–33.
7.
TsubukuM., HayashiS., TeraharaA., FurukawaT., OhmuraG.Fitz-Hugh-Curtis syndrome: linear contrast enhancement of the surface of the liver on CT. J Comput Assist Tomogr2002; 26(3): 456–8.
