Usefulness of Tc-99m Pertechnetate SPECT/CT in the Diagnosis of Testicular Infarction After Inguinal Herniorrhaphy
10.1007/s13139-016-0469-y
- Author:
Myoung Hyoun KIM
1
;
Chang Guhn KIM
;
Soon Ah PARK
;
Dae Weung KIM
Author Information
1. Department of Nuclear Medicine, Wonkwang University School of Medicine and Institute of Wonkwang Medical Science, 895, Muwang-ro, Iksan 54538, Republic of Korea. akaxan@nate.com
- Publication Type:Case Report
- Keywords:
SPECT/CT;
Tc-99m pertechnetate;
Testicular infarction;
Testicular scan
- MeSH:
Aged;
Diagnosis;
Hematoma;
Hernia, Inguinal;
Herniorrhaphy;
Humans;
Hyperemia;
Infarction;
Male;
Orchiectomy;
Scrotum;
Sodium Pertechnetate Tc 99m;
Spermatic Cord;
Testis
- From:Nuclear Medicine and Molecular Imaging
2017;51(4):357-359
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 77-year-old male underwent open repair for a right indirect inguinal hernia and complained of right scrotal pain on the third postoperative day. Color Doppler imaging revealed decreased blood flow with heterogeneous hypoechogenicity in the right testis. A Tc-99m pertechnetate testicular scan showed diffuse hyperemia and increased uptake in the right scrotum. Additional SPECT/CT revealed a photon defect in the right testicle with increased uptake in the peri-testicular area. A subsequent operation revealed a large hematoma in the right spermatic cord and consequent right testicular infarction, and right orchiectomy was performed.
