From the *Department of Nuclear Medicine, Hopital Prive d'Antony, Antony; and †Department of Internal Medicine and Infectious Diseases, CH François Quesnay, Mantes-la-Jolie, France.
Clin Nucl Med. 2014 Jan;39(1):79-80. doi: 10.1097/RLU.0b013e31828e98ad.
We report a case of liver amoebic abscesses in a 58-year-old man referred for a FDG PET/CT with an initial diagnosis of secondary hepatic lesions. This patient, coming from Sri Lanka, presented with fever and shivers, pain in the right flank, vomiting, and diarrhea for a month. The FDG PET/CT showed a hepatic heterogeneous uptake with multiple cold lesions surrounded by a faint hypermetabolism. As this result was not typical of hepatic metastases, a hepatic biopsy was performed leading to the diagnosis of amoebic abscess.
我们报告了一例 58 岁男性的肝阿米巴脓肿病例,该患者因初始诊断为继发性肝病变而进行 FDG PET/CT 检查。该患者来自斯里兰卡,表现为发热、寒战、右胁疼痛、呕吐和腹泻一个月。FDG PET/CT 显示肝脏摄取不均匀,多个冷病变周围有轻度高代谢。由于该结果不符合肝转移的典型表现,因此进行了肝活检,最终诊断为阿米巴脓肿。