Kemik sintigrafisinde SPECT/BT ile saptanan inguinoskrotal mesane hernisi

İnguinal mesane hernisi, mesanenin inguinal kanal, skrotal kese veya femoral kanala fıtıklaşması sonucu ortaya çıkan, sık rastlanmayan ve genellikle belirti vermeyen bir durumdur. Kemik sintigrafisinde rastlantısal olarak saptanan inguinal mesane hernisi literatürde nadir olup genellikle tanı ultrasonografi veya bilgisayarlı tomografi ile doğrulanmıştır. Tek foton emisyonlu bilgisayarlı tomografi/bilgisayarlı tomografi (SPECT/BT) tetkiki planar görüntülemede saptanan anormal aktivitenin net yerleşiminin saptanmasında ve değerlendirilmesinde yararlı olmaktadır. Bu çalışmada, 65 yaşındaki prostat kanseri tanılı erkek olguda saptanan, kemik sintigrafisinde pubik kemik metastazını taklit eden ve SPECT/BT görüntüleme ile tanı alan inguinoskrotal mesane hernisinin sunulması amaçlanmıştır.

Inguinoscrotal bladder hernia detected by SPECT/CT on bone scintigraphy

Inguinal hernia containing bladder is an uncommon and usually asymptomatic condition that occurs at theinguinal canal, scrotal sac or femoral canal. Incidentally detection of inguinal hernia of bladder by bonescintigraphy has been rarely presented in the literature and usually verified by CT or ultrasonography.Single photon emission computed tomography/computed tomography (SPECT/CT) is helpful to evaluateand locate precisely an area of abnormal activity that can be present on the planar scintigraphy.In this report, we aimed to describe a case of inguinoscrotal bladder herniation diagnosed by SPECT/CTthat is mimicking pubic bone metastasis on bone scintigraphy in a 65-year-old male patient with prostatecancer.

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