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18F-FDG PET/CT findings of a right subphrenic foreign-body granuioma

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Abstract

We report a case of an 85-year-old woman with a foreign-body granuioma which accumulated18F-fluorodeoxyglucose (FDG). Unenhanced computed tomography showed a hyperdense mass with a hypodense rim in the right subphrenic space. FDG PET/CT images showed intense FDG uptake in the hypodense rim and little FDG uptake in the center of the mass, showing a ring-shaped appearance. The fusion imaging of FDG PET/CT represented the metabolic features of the foreign-body granuioma. When a ring-shaped FDG uptake is noted in the abdomen of a patient with a history of abdominal surgery, a foreign-body granuioma should be included in the differential diagnosis.

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References

  1. Kokubo T, Itai Y, Ohtomo K, Yoshikawa K, Iio M, Atomi Y. Retained surgical sponges: CT and US appearance.Radiology 1987; 165: 415–418.

    PubMed  CAS  Google Scholar 

  2. Coskun M, Boyvat F, Agildere AM. CT features of a pericardial gossypiboma.Eur Radiol 1999; 9: 728–730.

    Article  PubMed  CAS  Google Scholar 

  3. Choi BI, Kim SH, Yu ES, Chung HS, Han MC, Kim CW. Retained surgical sponge: diagnosis with CT and sonography.AJR Am J Roentgenol 1988; 150: 1047–1050.

    PubMed  CAS  Google Scholar 

  4. Kopka L, Fischer U, Gross AJ, Funke M, Oestmann JW, Grabbe E. CT of retained surgical sponges (textilomas): pitfalls in detection and evaluation.J Comput Assist Tomogr 1996; 20: 919–923.

    Article  PubMed  CAS  Google Scholar 

  5. Yuh-Feng T, Chin-Chu W, Cheng-Tau S, Min-Tsung T. FDG PET CT features of an intraabdominal gossypiboma.Clin Nucl Med 2005; 30: 561–563.

    Article  PubMed  Google Scholar 

  6. Chen MY, Ng KK, Ma SY, Wu TI, Chang TC, Lai CH. False-positive fluorine-18 fluorodeoxy-D-glucose positron emission tomography imaging caused by retained gauze in a woman with recurrent ovarian cancer: a case report.Eur J Gynaecol Oncol 2005; 26: 451–453.

    PubMed  CAS  Google Scholar 

  7. Hsu CH, Lee CM, Lin SY. Inflammatory pseudotumor resulting from foreign body in abdominal cavity detected by FDG PET.Clin Nucl Med 2003; 28: 842–844.

    Article  PubMed  Google Scholar 

  8. Ghersin E, Keidar Z, Brook OR, Amendola MA, Engel A. A new pitfall on abdominal PET/CT: a retained surgical sponge.J Comput Assist Tomogr 2004; 28: 839–841.

    Article  PubMed  Google Scholar 

  9. Harrigal C, Branstetter BF 4th, Synderman CH, Maroon J. Teflon granuloma in the nasopharynx: a potentially false- positive PET/CT finding.AJNR Am J Neuroradiol 2005; 26: 417–420.

    PubMed  Google Scholar 

  10. Modi D, Fulham MJ, Mohamed A, Havas TE. Markedly increased FDG uptake in a vocal cord after medialization with Teflon: PET/CT findings.Clin Nucl Med 2005; 30:45–47.

    Article  PubMed  Google Scholar 

  11. Yeretsian RA, Blodgett TM, Branstetter BF 4th, Roberts MM, Meltzer CC. Teflon-induced granuloma: a false-positive finding with PET resolved with combined PET and CT.AJNR Am J Neuroradiol 2003; 24: 1164–1166.

    PubMed  Google Scholar 

  12. Winter FD, Huysse W, Paepe PD, Lambert B, Poffyn B, Dierckx R. High F-18 FDG uptake in a paraspinal textiloma.Clin Nucl Med 2002; 27: 132–133.

    Article  PubMed  Google Scholar 

  13. Aide N, Deux JF, Peretti I, Mabille L, Mandet J, Callard P, et al. Persistent foreign body reaction around inguinal mesh prostheses: a potential pitfall on FDG PET.AJR Am J Roentgenol 2005; 184: 1172–1177.

    PubMed  Google Scholar 

  14. Olnick HM, Weens HS, Rogers JV Jr. Radiological diagnosis of retained surgical sponges.J Am MedAssoc 1955; 159: 1525–1527.

    CAS  Google Scholar 

  15. Wan YL, Huang TJ, Huang DL, Lee TY, Tsai CC. Sonography and computed tomography of a gossybipoma andin vitro studies of sponges by ultrasound. Case report.Clin Imaging 1992; 16: 256–258.

    Article  PubMed  CAS  Google Scholar 

  16. Nabi HA, Zubeldia JM. Clinical application of18F-FDG in oncology.J Nucl Med Technol 2002; 30: 3–9.

    PubMed  Google Scholar 

  17. Ishimori T, Saga T, Maeda M, Kobayashi H, Higashi T, Nakamoto Y, et al. Increased18F-FDG uptake in a model of inflammation: concanavalin A—mediated lymphocyte activation.J Nucl Med 2002; 43: 658–663.

    PubMed  CAS  Google Scholar 

  18. Stumpe KDM, Dazzi H, Schaffner A, von Schulthess GK. Infection imaging using whole-body FDG-PET.Eur J Nucl Med 2000; 27: 822–832.

    Article  PubMed  CAS  Google Scholar 

  19. Sugawara Y, Braun DK, Kison PV, Russo JE, Zasadny KR, Wahl RL. Rapid detection of human infections with fluorine- 18 fluorodeoxyglucose and positron emission tomography: preliminary results.Eur J Nucl Med 1998; 25: 1238–1243.

    Article  PubMed  CAS  Google Scholar 

  20. Hamada K, Myoui A, Ueda T, Higuchi I, Inoue A, Tamai N, et al. FDG-PET imaging for chronic expanding hematoma in pelvis with massive bone destruction.Skeletal Radiol 2005; 34: 807–811.

    Article  PubMed  Google Scholar 

  21. Bakheet SMB, Powe J, Kandil A, Ezzat A, Rostom A, Amartey J. F-18 FDG uptake in breast infection and inflammation.Clin Nucl Med 2000; 25: 100–103.

    Article  PubMed  CAS  Google Scholar 

  22. Kisielinski K, Cremerius U, Reinartz P, Niethard FU. Fluorodeoxyglucose positron emission tomography detection of inflammatory reactions due to polyethylene wear in total hip arthroplasty.J Arthroplasty 2003; 18: 528–532.

    Article  PubMed  CAS  Google Scholar 

  23. Bakheet SM, Bakheet R, Ezzat A, Tulbah A, Durakovic A, Hussain S. F-18 FDG positron emission tomography in primary breast non-Hodgkin’s lymphoma.Clin Nucl Med 2001; 26: 299–301.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Masatoyo Nakajo.

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Nakajo, M., Jinnouchi, S., Tateno, R. et al. 18F-FDG PET/CT findings of a right subphrenic foreign-body granuioma. Ann Nucl Med 20, 553–556 (2006). https://doi.org/10.1007/BF03026820

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  • DOI: https://doi.org/10.1007/BF03026820

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