A Rare Hernia Mimicking Implant in a Patient with Rectal Adenocarcinoma: Internal Herniation
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VOLUME: 32 ISSUE: 1
P: 87 - 89
February 2023

A Rare Hernia Mimicking Implant in a Patient with Rectal Adenocarcinoma: Internal Herniation

Mol Imaging Radionucl Ther 2023;32(1):87-89
1. Recep Tayyip Erdoğan University Faculty of Medicine, Department of Nuclear Medicine, Rize, Turkey
2. Recep Tayyip Erdoğan University Faculty of Medicine, Department of Radiology, Rize, Turkey
3. Dr. Abdurrahman Yurtaslan Training and Research Hospital, Clinic of Medical Oncology, Ankara, Turkey
No information available.
No information available
Received Date: 03.07.2022
Accepted Date: 15.09.2022
Publish Date: 23.02.2023
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ABSTRACT

Internal herniation may be seen more frequently in patients with intra-abdominal surgery and malignancy history. We presented a 58-year-old male patient diagnosed with rectal adenocarcinoma seven years ago with a history of surgery and pelvic radiotherapy. When the abdominal computed tomography (CT) image was taken during routine oncology follow-up, a lesion mimicking a serosal implant on the anterior abdominal wall was detected. 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT imaging was performed the suspicion of recurrence. It was concluded that the lesion, which was evaluated as an implant in abdominal CT with 18F-FDG PET/CT imaging, was a spontaneously reducing internal herniation. 18F-FDG PET/CT imaging in cancer patients is crucial in illuminating the suspicion of recurrent lesions in these patients and sheds light on the course of the patients in oncology practice.

Keywords:
Internal hernia, mimicking implant, 18F-FDG PET/CT, rectal adenocarcinoma

References

1
Ghahremani GG. Abdominal and pelvic hernias. In: Gore RM, Levine MS (eds). Textbook of gastrointestinal radiology, 2nd ed. Philadelphia, PA: Saunders 2000; 1993-2009.
2
Liu PH, Kung WC, Wu YC, Chien ST, Chang WY, Hsu CW. Metastatic malignant gastrointestinal stromal tumor mimicking a right incarcerated inguinal hernia. Formosan Journal of Surgery 2014;47:189-192.
3
Doishita S, Takeshita T, Uchima Y, Kawasaki M, Shimono T, Yamashita A, Sugimoto M, Ninoi T, Shima H, Miki Y. Internal hernias in the era of multidetector CT: correlation of imaging and surgical findings. Radiographics 2016;36:88-106.
4
Hamimi AAH, Yunus TE. Internal mimics hernias and their mimics: how would radiologists help? Egypt J Radiol Nucl Med 2014;45:1071-1078.
5
Panagiotidis E, Datseris IE, Exarhos D, Skilakaki M, Skoura E, Bamias A. High incidence of peritoneal implants in recurrence of intra-abdominal cancer revealed by 18F-FDG PET/CT in patients with increased tumor markers and negative findings on conventional imaging. Nucl Med Commun 2012;33:431-438.
6
Elekonawo FMK, Starremans B, Laurens ST, Bremers AJA, de Wilt JHW, Heijmen L, de Geus-Oei LF. Can [18F]F-FDG PET/CT be used to assess the pre-operative extent of peritoneal carcinomatosis in patients with colorectal cancer? Abdom Radiol (NY) 2020;45:301-306.
7
Li Y, Behr S. Acute Findings on FDG PET/CT: key imaging features and how to differentiate them from malignancy. Curr Radiol Rep 2020;8:22.