Usefulness of Tc-99m Pertechnetate SPECT/CT in the Diagnosis of Testicular Infarction After Inguinal Herniorrhaphy

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 showe...

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Published inNuclear medicine and molecular imaging Vol. 51; no. 4; pp. 357 - 359
Main Authors Kim, Myoung Hyoun, Kim, Chang Guhn, Park, Soon-Ah, Kim, Dae-Weung
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.12.2017
Springer Nature B.V
대한핵의학회
Subjects
Blood flow
Cardiology
Computed tomography
Defects
Hernias
Imaging
Infarction
Interesting Image
Medicine
Medicine & Public Health
Nuclear Medicine
Oncology
Orthopedics
Pain
Radiology
방사선과학
Testicular scan
Testicular infarction
Tc-99m pertechnetate
SPECT/CT
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ISSN1869-3474
1869-3482
DOI10.1007/s13139-016-0469-y

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Summary: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.
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ISSN:1869-3474
1869-3482
DOI:10.1007/s13139-016-0469-y