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Incidental ¹⁸F-FDG Uptake of the Pubic Ramus and Abdominal Muscles due to Athletic Pubalgia During Acute Prostatitis

10.4274/mirt.19484

• Olivier Rager
• Marlise Picarra
• Emmanouil Astrinakis
• Valentina Garibotto
• Gaël Amzalag

Received Date: 27.11.2017 Accepted Date: 10.03.2018 Mol Imaging Radionucl Ther 2018;27(3):133-135 PMID: 30317850

• Abstract
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A 23-year-old African native male patient presented with fever, lumbalgia and dysuria after returning from a trip to Togo. His physical examination revealed pain over the pubic symphysis and rectal tenderness on digital exam. The C-reactive protein (CRP) level was elevated along with positive blood and urinary cultures for methicillin-resistant Staphylococcus aureus. An magnetic resonance imaging that has been performed to rule out arthritis/osteomyelitis in the pubis revealed edema of the symphysis. An ¹⁸F-FDG positron emission tomography/computed tomography supported the diagnosis of prostate infection and showed a focal uptake of the pubic symphysis, with diffuse hyper-metabolism of the insertions of the rectus abdominis and longus adductor muscles, corresponding to athletic pubalgia. Fever and CRP responded rapidly to antibiotherapy.

Keywords: PET/CT, magnetic resonance imaging, athletic pubalgia, sports hernia, prostatitis

Ethics

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

Peer-review: Externally and internally peer-reviewed.

Authorship Contributions

Surgical and Medical Practices: O.R., M.P., G.A., Concept: O.R., G.A., Design: O.R., G.A., Data Collection or Processing: M.P., E.A., V.G., Analysis or Interpretation: O.R., V.G., G.A., Literature Search: O.R., M.P., E.A., V.G., G.A., Writing: O.R., M.P., G.A.

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

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

Images

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