Adenomyosis as seen on blood flow and blood pool imaging during bone scintigraphy

ALBERT J. MORENO, Moreno AJ, A J Moreno, Pacheco EJ, E J Pacheco, ELMER J. PACHECO, Carpenter AL, A L Carpenter, Alan L. Carpenter, A A Rodriguez, ANA A. RODRIGUEZ, Rodriguez AA, G L Turnbull, Turnbull GL, GOTTLIEB L. TURNBULL
Clinical nuclear medicine · 1994 · vol. 19(3) , pp. 204–206 · doi:10.1097/00003072-199403000-00007 · PMID:8033468 · W2084080453
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-14 ⓘ

Three-phase bone scintigraphy, including blood flow and blood pool imaging, revealed increased activity in the right lower abdomen in a patient whose surgically confirmed adenomyosis caused her pain.

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This case report describes a 42-year-old woman with intermittent low back and left lower extremity pain who underwent three-phase bone scintigraphy. The blood flow and blood pool images revealed a large focus of increased activity in the right lower abdomen, while computed tomography identified an enlarged uterus displaced to the right side of the pelvis. Surgical exploration confirmed that the uterine enlargement was caused by adenomyosis. This paper is centrally about adenomyosis — specifically demonstrating how it can present as an area of increased radiotracer uptake on bone scintigraphy.

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Abstract

A 42-year-old woman presented with intermittent low back and left lower extremity pain. The blood flow and blood pool images of bone scintigraphy showed a large focus of increased activity in the right lower abdomen. Computed tomography showed an enlarged uterus displaced to the right side of the pelvis. At surgery, the uterus was found to be involved with adenomyosis. Three-phase bone scintigraphy consisting of blood flow and blood pool images over the anterior pelvis may be a valuable diagnostic aid in the evaluation of lower back or pelvic pain of a woman.
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Original Article: PDF Only Adenomyosis as Seen on Blood Flow and Blood Pool Imaging During Bone Scintigraphy - ALBERT J. MORENO - ELMER J. PACHECO - ALAN L CARPENTER - ANA A. RODRIGUEZ - GOTTLIEB L. TURNBULL Clinical Nuclear Medicine 19(3):p 204-206, March 1994. A 42-year-old woman presented with intermittent low back and left lower extremity pain. The blood flow and blood pool images of bone scintigraphy showed a large focus of increased activity in the right lower abdomen. Computed tomography showed an enlarged uterus displaced to the right side of the pelvis. At surgery, the uterus was found to be involved with adenomyosis. Three-phase bone scintigraphy consisting of blood flow and blood pool images over the anterior pelvis may be a valuable diagnostic aid in the evaluation of lower back or pelvic pain of a woman. Copyright © Lippincott-Raven Publishers.

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Condition tags

endometriosischronic_pelvic_painadenomyosis

MeSH descriptors

Bone and Bones Endometriosis Low Back Pain Pelvic Pain Uterine Diseases Adult Adult Bone and Bones Bone and Bones Endometriosis Endometriosis Endometriosis Female Female Humans Humans Low Back Pain Low Back Pain Pelvic Pain Pelvic Pain

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License: CC0 · commercial use OK