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利尿后动态 FDG PET/CT 显像显示复发性结肠憩室炎的淋巴瘤患者存在肠膀胱瘘。

Dynamic FDG PET/CT imaging with diuresis demonstrates an enterovesical fistula in a lymphoma patient with repeated colon diverticulitis.

机构信息

School of Medicine, and Departments of Nuclear Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan.

出版信息

Clin Nucl Med. 2013 Apr;38(4):272-5. doi: 10.1097/RLU.0b013e3182817c5f.

DOI:10.1097/RLU.0b013e3182817c5f
PMID:23455535
Abstract

A 43-year-old male patient with follicular B-cell lymphoma was referred for a FDG PET/CT scan due to severe left lower abdominal pain to rule out recurrent cancer. These FDG PET/CT images and previous FDG PET/CT images 5 months ago both revealed an air bubble in the urinary bladder on the CT images. He had a recurrent urinary tract infection history for 6 months. A list-mode dynamic data acquisition with diuresis intravenous injection revealed linear FDG activity extending from the upper-left portion of the bladder to a soft tissue mass in the lower-left pelvic region. An enterovesical fistula was confirmed by surgery.

摘要

一位 43 岁男性滤泡性 B 细胞淋巴瘤患者,因严重左下腹痛就诊,行 FDG PET/CT 扫描以排除复发性癌症。这些 FDG PET/CT 图像和 5 个月前的 FDG PET/CT 图像均显示 CT 图像上膀胱内有气泡。他有 6 个月的复发性尿路感染病史。采用利尿静脉注射的列表模式动态数据采集显示,FDG 活性呈线性从膀胱左上部分延伸至左下盆腔的软组织肿块。手术证实为肠膀胱瘘。

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