A 18 year-old woman with PID and RUQ pain from HV hospital asked for a pelvic MRI at Medic Center.
MRI with CE detected PID both two sides and thickening of hepatic capsule as perihepatic inflammation that supposed a case of Fitz-Hugh- Curtis syndrome.
MRI and MSCT with CE could detect FHC but ultrasound determined the perihepatic inflammation while it exists the fluid enough around the liver.
Violon-strings [pseudo septa] adhesions between liver surface and abdominal wall and fluid may be seen in two cases of Van Dongen.
FHC was described since 1930 as PID and painful perihepatic area inflammation which had been managed with antibiotics for some days. The hepatic pain may due to infected from Chlamydia, Gonococcus, Trichomonas or TB genital peritoneum in pelvic region that were going up to the hepatic peritoneum but the hepatic tissue and bile ducts being intact.
REFERENCE
1. https://www.sciencedirect.com/science/article/abs/pii/002822439390181B
2. CASE 351: A Case of FHC syndrome.
https://www.ultrasoundmedicvn.com/2015/12/case-351acute-abdomen-post-partum-dr.html
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