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An Incidentally Found Inflamed Uterine Myoma Causing Low Abdominal Pain, Using Tc-99m-Tektrotyd Single Photon Emission Computed Tomography-CT Hybrid Imaging

  • Zandieh, Shahin (Institute of Radiology and Nuclear Medicine, Hanusch-Hospital, Teaching Hospital of Medical University of Vienna) ;
  • Schutz, Matthias (Institute of Radiology and Nuclear Medicine, Hanusch-Hospital, Teaching Hospital of Medical University of Vienna) ;
  • Bernt, Reinhard (Institute of Radiology and Nuclear Medicine, Hanusch-Hospital, Teaching Hospital of Medical University of Vienna) ;
  • Zwerina, Jochen (Ludwig Boltzmann Institute of Osteology at the 1st Medical Department and AUVA Trauma Center Meidling, Hanusch-Hospital, Teaching Hospital of Medical University of Vienna) ;
  • Haller, Joerg (Institute of Radiology and Nuclear Medicine, Hanusch-Hospital, Teaching Hospital of Medical University of Vienna)
  • Received : 2012.11.03
  • Accepted : 2013.04.15
  • Published : 2013.09.01

Abstract

We report the case of a 50-year-old woman presented with a history of right hemicolectomy due to an ileocecal neuroendocrine tumor and left breast metastasis. Owing to a slightly elevated chromogranin A-level and lower abdominal pain, single photon emission computed tomography-computer tomography (SPECT-CT) was performed. There were no signs of recurrence on the SPECT-CT scan, but the patient was incidentally found to have an inflamed intramural myoma. We believe that the slightly elevated chromogranin A-level was caused by the hypertension that the patient presented. In the clinical context, this is a report of an inflamed uterine myoma seen as a false positive result detected by TC-99m-Tc-EDDA/HYNIC-Tyr3-Octreotide (Tektrotyd) SPECT-CT hybrid imaging.

Keywords

References

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