From the Departments of *Obstetrics and Gynecology, †Nuclear Medicine, and ‡Pathology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Clin Nucl Med. 2014 Apr;39(4):e274-6. doi: 10.1097/RLU.0b013e318292f118.
Abscess formation inside adenomyosis rarely occurred. A 49-year-old woman had adenomyosis for several years with the symptoms of menorrhagia and dysmenorrhea. She presented with fever of unknown etiology for 3 weeks. 67Ga SPECT/CT demonstrated increased tracer accumulation inside the uterus, which was confirmed as pyoadenomyosis after hysterectomy, and her fever subsided dramatically thereafter. For women with adenomyosis and fever of unknown origin, pyoadenomyosis is a rare but possible cause. 67Ga SPECT/CT is a valuable tool for accurate diagnosis.
腺肌病内脓肿形成很少见。一名 49 岁妇女患有腺肌病数年，有月经过多和痛经的症状。她出现了原因不明的发热 3 周。67Ga SPECT/CT 显示子宫内示踪剂积聚增加，子宫切除术后证实为化脓性腺肌病，此后她的发热明显消退。对于患有腺肌病和原因不明发热的妇女，化脓性腺肌病是一种罕见但可能的病因。67Ga SPECT/CT 是准确诊断的有价值工具。
