Zamberlan Ilaria, Nieri Alberto, Urso Luca, Adamantiadis Sara, Lombardo Valeria, Bartolomei Mirco, Cittanti Corrado
Department of Translational Medicine, University of Ferrara, Ferrara, Italy.
Nuclear Medicine Unit, Onco-Hematological Department, University Hospital of Ferrara, Ferrara, Italy.
Nucl Med Mol Imaging. 2024 Oct;58(6):383-385. doi: 10.1007/s13139-024-00870-5. Epub 2024 Jul 15.
A 73-year-old male with left hip prosthesis infection performed a Tc HMPAO-labelled autologous WBC (WBC) scan to evaluate the response to antibiotic therapy. Since the early planar scan, an area of increased activity was visible extending from the left groin region to the ipsilateral flank. At late planar images, the area progressively focused in the left groin, site of a painful inguinal hernia. The contextual tomographic acquisition showed increased activity partly referable to non-specific intestinal contents and partly localized at the parietal wall of the herniated intestinal loop. Our case suggests that the incidental detection of increased accumulation of WBC in correspondence of the intestinal wall of an inguinal hernia may indicate inflammatory involvement and subsequent further complications.
一名73岁男性，患有左髋关节假体感染，进行了锝标记的自体白细胞（WBC）扫描，以评估对抗生素治疗的反应。从早期的平面扫描开始，可见一个活性增加的区域，从左腹股沟区延伸至同侧胁腹。在晚期平面图像上，该区域逐渐聚焦于左侧腹股沟，即疼痛性腹股沟疝的部位。断层扫描显示活性增加，部分归因于非特异性肠内容物，部分定位于疝出肠袢的腹壁。我们的病例表明，在腹股沟疝肠壁处偶然检测到白细胞积聚增加可能提示炎症累及及随后的进一步并发症。
