Year 2019, Volume 58 , Issue 3, Pages 303 - 305 2019-09-20

Inguinoscrotal bladder hernia detected by SPECT/CT on bone scintigraphy
Kemik sintigrafisinde SPECT/BT ile saptanan inguinoskrotal mesane hernisi

Aylin Oral [1] , Bülent Yazıcı [2]


Inguinal hernia containing bladder is an uncommon and usually asymptomatic condition that occurs at the inguinal canal, scrotal sac or femoral canal. Incidentally detection of inguinal hernia of bladder by bone scintigraphy 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 evaluate and 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/CT that is mimicking pubic bone metastasis on bone scintigraphy in a 65-year-old male patient with prostate cancer. 

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. 

  • Curry NS. Hernias of the urinary tract. In: Pollack HM, McClennan BL (eds). Clinical urography, 3rd edition. Philadelphia: Saunders; 2000; 2981–91.
  • Taskovska M, Janez J. Inguinal hernia containing urinary bladder-A case report. Int J Surg Case Rep 2017; 40: 36-8.
  • Iagaru A, Siegel ME. Demonstration of a right inguinal hernia containing urinary bladder diverticulum on whole-body bone scan and pelvic CT. Eur J Nucl Med Mol Imaging 2006; 33 (2): 234.
  • Ilgan S, Ozguven M, Emer MO, Karacalioglu AO. Massive inguinoscrotal herniation of the bladder with ureter: incidental demonstration on bone scan. Ann Nucl Med 2007; 21 (6): 371-3.
  • Sorenson SM, Gentili A. Bladder herniation within the inguinal canal simulating Paget's disease. Clin Nucl Med 2001; 26 (10): 864-6.
  • Stewart CA, Hung GL, Olsen B, Bennett C. Urinary bladder herniation into the scrotum. Incidental demonstration on bone scintigraphy. Clin Nucl Med 1996; 21 (6): 498.
  • Hinojosa D, Joseph UA, Wan DQ, Barron BJ. Inguinal herniation of a bladder diverticulum on PET/CT and associated complications. Clin Imaging 2008; 32 (6): 483-6.
  • Van den Wyngaert T, Strobel K, Kampen WU, et al. The EANM practice guidelines for bone scintigraphy. Eur J Nucl Med Mol Imaging 2016; 43 (9): 1723-38.
  • Mariani G, Bruselli L, Kuwert T, et al. A review on the clinical uses of SPECT/CT. Eur J Nucl Med Mol Imaging 2010; 37 (10): 1959-85.
  • Buck AK, Nekolla S, Ziegler S, et al. SPECT/CT. J Nucl Med 2008; 49 (8): 1305-19.
Primary Language en
Subjects Health Care Sciences and Services
Journal Section Case Reports
Authors

Orcid: 0000-0001-8014-4327
Author: Aylin Oral (Primary Author)
Institution: Ege University Faculty of Medicine, Department of Nuclear Medicine, Izmir
Country: Turkey


Orcid: 0000-0001-6207-9162
Author: Bülent Yazıcı
Institution: Ege University Faculty of Medicine, Department of Nuclear Medicine, Izmir
Country: Turkey


Dates

Publication Date : September 20, 2019

Bibtex @case report { etd610846, journal = {Ege Tıp Dergisi}, issn = {1016-9113}, eissn = {2147-6500}, address = {}, publisher = {Ege University}, year = {2019}, volume = {58}, pages = {303 - 305}, doi = {10.19161/etd.610846}, title = {Inguinoscrotal bladder hernia detected by SPECT/CT on bone scintigraphy}, key = {cite}, author = {Oral, Aylin and Yazıcı, Bülent} }
APA Oral, A , Yazıcı, B . (2019). Inguinoscrotal bladder hernia detected by SPECT/CT on bone scintigraphy. Ege Tıp Dergisi , 58 (3) , 303-305 . DOI: 10.19161/etd.610846
MLA Oral, A , Yazıcı, B . "Inguinoscrotal bladder hernia detected by SPECT/CT on bone scintigraphy". Ege Tıp Dergisi 58 (2019 ): 303-305 <http://egetipdergisi.com.tr/en/issue/47742/610846>
Chicago Oral, A , Yazıcı, B . "Inguinoscrotal bladder hernia detected by SPECT/CT on bone scintigraphy". Ege Tıp Dergisi 58 (2019 ): 303-305
RIS TY - JOUR T1 - Inguinoscrotal bladder hernia detected by SPECT/CT on bone scintigraphy AU - Aylin Oral , Bülent Yazıcı Y1 - 2019 PY - 2019 N1 - doi: 10.19161/etd.610846 DO - 10.19161/etd.610846 T2 - Ege Tıp Dergisi JF - Journal JO - JOR SP - 303 EP - 305 VL - 58 IS - 3 SN - 1016-9113-2147-6500 M3 - doi: 10.19161/etd.610846 UR - https://doi.org/10.19161/etd.610846 Y2 - 2018 ER -
EndNote %0 Ege Tıp Dergisi Inguinoscrotal bladder hernia detected by SPECT/CT on bone scintigraphy %A Aylin Oral , Bülent Yazıcı %T Inguinoscrotal bladder hernia detected by SPECT/CT on bone scintigraphy %D 2019 %J Ege Tıp Dergisi %P 1016-9113-2147-6500 %V 58 %N 3 %R doi: 10.19161/etd.610846 %U 10.19161/etd.610846
ISNAD Oral, Aylin , Yazıcı, Bülent . "Inguinoscrotal bladder hernia detected by SPECT/CT on bone scintigraphy". Ege Tıp Dergisi 58 / 3 (September 2019): 303-305 . https://doi.org/10.19161/etd.610846
AMA Oral A , Yazıcı B . Inguinoscrotal bladder hernia detected by SPECT/CT on bone scintigraphy. Ege Tıp Dergisi. 2019; 58(3): 303-305.
Vancouver Oral A , Yazıcı B . Inguinoscrotal bladder hernia detected by SPECT/CT on bone scintigraphy. Ege Tıp Dergisi. 2019; 58(3): 305-303.