Preoperative Diagnosis of Pyoadenomyosis With 67Ga SPECT/CT

En-Tzu Wu, En‐Tzu Wu, Mei‐Fang Cheng, Mei-Fang Cheng, Jie-Yang Jhuang, Jie‐Yang Jhuang, Jehn-Hsiahn Yang, Jehn‐Hsiahn Yang
Clinical nuclear medicine · 2013 · vol. 39(4) , pp. e274–e276 · doi:10.1097/rlu.0b013e318292f118 · PMID:23698465 · W2334133788
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67Ga SPECT/CT demonstrated increased tracer accumulation in the uterus of a patient, leading to the diagnosis of pyoadenomyosis, a rare complication of adenomyosis.

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Abstract

Abscess formation inside adenomyosis rarely occurred. A 49-year-old woman had adenomyosis for several years with the symptoms of menorrhagia and dysmenorrhea. She presented with fever of unknown etiology for 3 weeks. 67Ga SPECT/CT demonstrated increased tracer accumulation inside the uterus, which was confirmed as pyoadenomyosis after hysterectomy, and her fever subsided dramatically thereafter. For women with adenomyosis and fever of unknown origin, pyoadenomyosis is a rare but possible cause. 67Ga SPECT/CT is a valuable tool for accurate diagnosis.

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Condition tags

adenomyosisdysmenorrhea

MeSH descriptors

Adenomyosis Multimodal Imaging Preoperative Period Tomography, Emission-Computed, Single-Photon Tomography, X-Ray Computed Adenomyosis Adenomyosis Female Gallium Radioisotopes Humans Middle Aged

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