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Giant Abdominal Aortic Aneurysm in Bone Scan

10.4274/mirt.galenos.2018.55477

  • Derya Çayır
  • Mehmet Bozkurt
  • Özdeş Emer
  • Salih Sinan Gültekin
  • Alper Özgür Karacalıoğlu

Received Date: 22.06.2018 Accepted Date: 08.08.2018 Mol Imaging Radionucl Ther 2019;28(2):76-78

Abdominal aortic aneurysm (AAA) may be incidentally detected in three-phased bone scintigraphy. AAA should be diagnosed prior to the development of symptoms to perform elective repair surgery. We present a rare case who presented with back pain and underwent a 3-phase bone scan with Tc-99m methylene diphosphonate, which revealed a giant AAA on blood-flow and blood-pool phases in addition to bone metastases. F-18-fluorodeoxyglucose positron emission tomography/computed tomography (CT) identified hypermetabolic liver, lung, and bone lesions, and CT component of the study confirmed the diagnosis of AAA with a maximum diameter of 92 mm. The initial two phases of a 3-phase bone scintigraphy are decisive to identify vascular pathologies that may be life-threatening, if left untreated.

Keywords: Whole body scan, Tc-99m methylene diphosphonate, abdominal aortic aneurysm, metastases, PET/CT

Ethics

Informed Consent: Consent form was filled out by all participants.

Peer-review: Externally peer-reviewed.

Authorship Contributions

Surgical and Medical Practices: D.Ç., M.B., Concept: D.Ç., Design: D.Ç., M.B., Data Collection or Processing: D.Ç., Ö.E., Analysis or Interpretation: D.Ç., Ö.E., A.Ö.K., Literature Search: D.Ç., M.B., S.S.G., Writing: D.Ç., M.B.

Conflict of Interest: No conflict of interest was declared by the authors.

Financial Disclosure: The authors declared that this study received no financial support.

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