Kemik Sintigrafisinde Metastazı Taklit Eden İnguinal Mesane Hernisi: Tanıda SPECT/BT'nin Katkısı
İnguinokrotal mesane herniasyonu, nadir görülen bir klinik problemdir. Mesane herniasyonunun sintigrafik görüntülemenin değerlendirilmesi tanısal hatalara neden olabilir. Bu olgu sunumunda kemik sintigrafisinde planar görüntülemede metastazı taklit eden ve komşu kemik yapıların değerlendirmesinde güçlüğe neden olan inguinal mesane herniasyonu SPECT/BT görüntüleme ile tespit edilmiştir.
Role of SPECT/CT Imaging in the Diagnosis of Inguinal Herniation of the Bladder on Bone Scintigraphy
Inguinoscrotal urinary bladder herniation is an uncommon clinical entity. Bladder herniation may lead to diagnostic errors during scintigraphic imaging. In this case report, the urinary activity mimicking metastases and leading obstacles against the evaluation of superposed bony structures on planar images was proven by SPECT/CT imaging to be due to inguinal bladder herniation.
___
- Bacigalupo LE, Bertolotto M, Barbiera F, Pavlica P, Lagalla R, Mucelli RS, et al. Imaging of urinary bladder hernias. AJR Am J Roentgenol 2005;184:54651.
- Ilgan S, Ozguven M, Emer MO, Karacalioglu AO. Massive inguinoscrotal herniation of the bladder with ureter: incidental demonstration on bone scan. Ann Nucl Mes. 2007;21:371-3.
- Park SH, Kim MJ, Kim JH, Cho AE, Park MS, Kim KW. FDG uptake in PET by bladder hernia simulating inguinal metastasis. Yonsei Med J. 2007;48:886-90.
- Wagner AA, Arcand P, Bamberger MH. Acute renal failure resulting from huge inguinal bladder hernia. Urology 2004;64:1567.
- Minordi LM, Mirk P, Canadé A, Sallustio G. Massive inguinoscrotal vesical hernia complicated by bladder rupture: preoperative sonographic and CT diagnosis. AJR Am J Roentgenol 2004;183:1091-2.
- Verbeeck N, Larrousse C, Lamy S. Diagnosis of inguinal bladder hernias: The current role of sonography. BRBTR, 2005, 88: 233-6.
- Akkaş BE, Vural GU, Aslan S, Sasani C, Erçakmak N. Bladder Herniation Detected By PET/CT in A Patient with Thyroid Papillary Carcinoma. Turk J Nucl Med 2009;18:98-101
- Lee TA 3rd, Siddiqui AR. Urinary bladder herniation into the scrotum seen on bone imaging. Clin Nucl Med 1986;11:435.
- Pirson AS, Krug B, Lacrosse M, Luyx D, Barbeaux A, Borght TV. Bladder hernia simulating metastatic lesion on FDG PET study. Clin Nucl Med 2004;29:767.