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Papers of the Week

2019 Aug

Radiol Case Rep



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


de Boer JP, Verpalen IM, Gabriëls RY, de Haan H, Meijssen M, Bloembergen P, Meier M
Radiol Case Rep. 2019 Aug; 14(8):930-933.
PMID: 31193761.


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 . 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.