School of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Clin Nucl Med. 2012 Oct;37(10):1013-5. doi: 10.1097/RLU.0b013e31825b241a.
A 59-year-old woman with recurrent cervical cancer and end-stage renal disease was referred for FDG PET/CT for restaging. The patient had hemodialysis for 4 years and radiotherapy 3 years ago and 1 year ago. The PET/CT scan showed recurrent cervical cancer and intense FDG radioactivity in the urinary bladder, with a small air bubble in both the urinary bladder and the vagina. After supine positioning without voiding, the delayed images showed more air bubbles with less FDG activity in the urinary bladder. The vesicovaginorectal fistula was confirmed by surgery.
一位 59 岁的女性，患有复发性宫颈癌和终末期肾病，因疾病分期需要进行 FDG PET/CT 检查。患者有 4 年的血液透析病史，3 年前和 1 年前接受过放疗。PET/CT 扫描显示复发性宫颈癌，膀胱内有强烈的 FDG 放射性，膀胱和阴道内均有小气泡。仰卧位且未排空膀胱时，延迟图像显示膀胱内气泡增多，FDG 活性降低。手术证实存在膀胱阴道直肠瘘。
