MR Imaging of the Perihepatic Space

Bonnin, A; Durot, Carole; Djelouah, Manel; Dohan, Anthony; Arrivé, Lionel; Rousset, Pascal; Hoeffel, Christine

doi:10.3348/kjr.2019.0774

Cited by 10 publications

(6 citation statements)

References 34 publications

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“…Due to perisplenitis being an infrequent manifestation, imaging was paramount in our case. When choosing an imaging modality, contrast-enhanced CT is usually a go-to in the literature (1,7). It shows liver capsular enhancement in the arterial phase (8), with possible ascites, mesenteric lymphadenopathy, fat stranding and pelvic abscess or inflammation as adjunct findings (9).…”

Section: Discussionmentioning

confidence: 99%

Imaging of Perisplenitis as an Unusual Presentation of the Fitz-hugh-curtis Syndrome

Šljivić,

Plankar Srovin,

Glušič

et al. 2023

CEJP

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Objective − We present the imaging characteristics of an unusual case of Fitz-Hugh-Curtis syndrome (FHCS), a late complication of pelvic inflammatory disease in an adolescent girl with left upper abdominal pain due to perisplenitis seen on contrast-enhanced ultrasound and magnetic resonance imaging.Case Report − A 16-year-old girl presented with acute abdominal pain in the left upper quadrant, vomiting, diarrhoea, and vaginal odour with yellow discharge. She was recently diagnosed with infectious mononucleosis. Abdominal ultrasound showed perisplenic fluid collection that did not enhance post-contrast application, but it did show a mild enhancement of perisplenic tissue. MRI findings indicated perisplenitis. The results of the positive vaginal swab for Chlamydia trachomatis and Ureaplasma parvum and the imaging findings favoured a final diagnosis of FHCS with perisplenitis.Conclusion − Imaging findings, and clinical and laboratory data, including positive vaginal swabs, are crucial to confirm the unusual presentation of FHCS in an adolescent with left upper abdominal pain.

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Section: Discussionmentioning

confidence: 99%

Imaging of Perisplenitis as an Unusual Presentation of the Fitz-hugh-curtis Syndrome

Šljivić,

Plankar Srovin,

Glušič

et al. 2023

CEJP

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“…To date, MRI findings of FHCS have been reported in 3 cases (Table 1) [6][7][8], whose MRI findings were characterized by the presence of a small amount of perihepatic fluid on T2WI, perihepatic/subcapsular enhancement on T1WI [6], mild capsular perihepatic enhancement on T1WI [7], and high-intensity regions in the surface and subcapsule of the liver on T2WI [8].…”

Section: Discussion/conclusionmentioning

confidence: 99%

“…For accurate diagnosis of FHCS, it is reported that (1) dropped stones-related perihepatic abscess, (2) echinococcosis, (3) tuberculosis, (4) perihepatic peritoneal metastases/pseudomyxoma peritonei, (5) diffuse peritoneal leiomyomatosis and fibromatosis, (6) splenosis, (7) endometriosis, and (8) intraperitoneal focal fat infarction need to be ruled out based on MRI findings, symptoms and clinical examinations [8].…”

Section: Discussion/conclusionmentioning

confidence: 99%

“…However, given its invasiveness, noninvasive diagnostic imaging is considered preferable. Recently, alongside contrast-enhanced computed tomography (CT) [5], MRI is reported to be useful for diagnosis of FHCS [6][7][8]. While it is rare and its radiological features remain poorly described, we, herein, report a case of FHCS in whose diagnosis MRI proved useful.…”

Section: Introductionmentioning

confidence: 97%

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Fitz-Hugh-Curtis Syndrome Presenting as Perihepatic and Subcapsular Enhancement on MRI

Kubo

Ohara

Watanabe

et al. 2022

Case Rep Gastroenterol

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Fitz-Hugh-Curtis syndrome (FHCS) is a rare complication of pelvic inflammatory disease and its MRI findings remain poorly described. A 34-year-old woman was raced to our hospital with slight fever and severe right upper quadrant pain. Gadoxetic acid-enhanced magnetic resonance imaging revealed high-intensity regions in the surface and subcapsule of the right liver on T2-weighted imaging and on diffusion-weighted imaging. A definitive diagnosis of FHCS was confirmed based on high titers of serum IgA and IgG antibodies to <i>Chlamydia trachomatis</i>. She was treated with oral azithromycin and discharged 6 days after admission with improvement of her symptoms. To our knowledge, this report represents a valuable addition to the FHCS literature describing MRI findings in the early stage of FHCS onset.

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“…Notably, peritoneal diffusion-weighted imaging (DWI) in combination with T1 and T2 weighted magnetic resonance imaging (MRI) images and delayed gadolinium enhancement improves the diagnostic performance of PM. DWI is used for the diagnosis and evaluation of PM as it can accurately detect small lesions (< 0.5 cm) and evaluate important anatomical sites such as the porta hepatis and hepatoduodenal ligament, small intestine and mesentery, bladder, and trigone by highlighting lesions that lack comparative resolution and are unrecognizable on CT as well as equidensity lesions in affected areas [ 26 27 28 ]. DWI also has a higher sensitivity for mucinous lesions than CT and 18 F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) and can supplement the diagnosis of patients with pseudomyxoma peritonei [ 29 30 ].…”

Section: Traditional Imaging Modalities For Diagnosing Pmmentioning

confidence: 99%

Imaging Evaluation of Peritoneal Metastasis: Current and Promising Techniques

Fu,

Zhang,

Guo

et al. 2024

Korean J Radiol

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Early diagnosis, accurate assessment, and localization of peritoneal metastasis (PM) are essential for the selection of appropriate treatments and surgical guidance. However, available imaging modalities (computed tomography [CT], conventional magnetic resonance imaging [MRI], and 18fluorodeoxyglucose positron emission tomography [PET]/CT) have limitations. The advent of new imaging techniques and novel molecular imaging agents have revealed molecular processes in the tumor microenvironment as an application for the early diagnosis and assessment of PM as well as real-time guided surgical resection, which has changed clinical management. In contrast to clinical imaging, which is purely qualitative and subjective for interpreting macroscopic structures, radiomics and artificial intelligence (AI) capitalize on high-dimensional numerical data from images that may reflect tumor pathophysiology. A predictive model can be used to predict the occurrence, recurrence, and prognosis of PM, thereby avoiding unnecessary exploratory surgeries. This review summarizes the role and status of different imaging techniques, especially new imaging strategies such as spectral photon-counting CT, fibroblast activation protein inhibitor (FAPI) PET/CT, near-infrared fluorescence imaging, and PET/MRI, for early diagnosis, assessment of surgical indications, and recurrence monitoring in patients with PM. The clinical applications, limitations, and solutions for fluorescence imaging, radiomics, and AI are also discussed.

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MR Imaging of the Perihepatic Space

Cited by 10 publications

References 34 publications

Imaging of Perisplenitis as an Unusual Presentation of the Fitz-hugh-curtis Syndrome

Imaging of Perisplenitis as an Unusual Presentation of the Fitz-hugh-curtis Syndrome

Fitz-Hugh-Curtis Syndrome Presenting as Perihepatic and Subcapsular Enhancement on MRI

Imaging Evaluation of Peritoneal Metastasis: Current and Promising Techniques

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