Öz
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.
Anahtar Kelimeler
Kemik sintigrafisi Tc-99m MDP mesane hernisi SPECT/BT prostat kanseri
Kaynakça
- 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.
Öz
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.
Anahtar Kelimeler
Bone scintigraphy Tc-99m MDP bladder hernia SPECT/CT prostate cancer
Kaynakça
- 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.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 20 Eylül 2019 |
| Gönderilme Tarihi | 11 Haziran 2018 |
| Yayımlandığı Sayı | Yıl 2019Cilt: 58 Sayı: 3 |
