ABSTRACT
A 65-year-old male patient with a one year history of liver transplantation was referred for an 18F-fluoro-2-deoxy-D-glucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) to rule out post transplant lymphoproliferative disease. Multiple foci of intense abnormal 18F-FDG uptake were seen in the transplanted liver which were concerning for malignancy. Explantation of the liver approximately 1 month following the PET/CT revealed multiple inflammatory and ischemic changes including large bile duct necrosis, acute cholangitis, bile duct obstruction changes and periportal fibrosis, with no evidence of malignancy. We present the 18F-FDG PET/CT image findings of this case.
Keywords:
Liver transplant, complications, pitfall, artifact, 18F-fluorodeoxyglucose, positron emission tomography
Ethics
Informed Consent: All subjects in the study gave written informed consent or the institutional review board waived the need to obtain informed consent.
Peer-review: Externally peer-reviewed.
Authorship Contributions
Surgical and Medical Practices: W.M., A.C., S.P., Concept: W.M., Design: W.M., Data Collection or Processing: W.M., A.C., S.P., Analysis or Interpretation: W.M., A.C., S.P., Literature Search: W.M., A.C., S.P., Writing: W.M.
Conflict of Interest: No conflict of interest was declared by the authors.
Financial Disclosure: The authors declared that this study received no financial support.