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Erschienen in: Nuclear Medicine and Molecular Imaging 3/2017

10.01.2017 | Case Report

Incidentally Detected Small Intestine Intussusception Caused by Primary Small Intestine Carcinoma on 18F-FDG PET/CT

verfasst von: Hyunjong Lee, So Won Oh, Yu Kyeong Kim

Erschienen in: Nuclear Medicine and Molecular Imaging | Ausgabe 3/2017

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Abstract

Small intestine intussusception in adults is a rare condition mainly caused by primary or metastatic small intestine malignancy. Here, we present a 72-year-old male patient who was diagnosed with small intestine cancer that was presented as small intestine intussusception on hybrid 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT). The patient was initially referred for an abnormality on a chest radiography and severe anemia. FDG PET/CT showed the lung lesion in the right upper lobe of lung as a high FDG uptake mass. Accidentally, FDG PET demonstrated another intense hypermetabolic intraluminal lesion in the small intestine accompanied with intussusception shown as a circumferential hypermetabolic wall. By pathologic examination, the patient was diagnosed as primary small intestine cancer with lung metastasis. This case highlights usefulness of hybrid FDG PET/CT to identify unexpected malignancy.
Literatur
1.
Zurück zum Zitat Applegate KE. Intussusception in children: evidence-based diagnosis and treatment. Pediatr Radiol. 2009;39 suppl 2:S140–3.CrossRefPubMed Applegate KE. Intussusception in children: evidence-based diagnosis and treatment. Pediatr Radiol. 2009;39 suppl 2:S140–3.CrossRefPubMed
2.
Zurück zum Zitat Meier DE, Coln CD, Rescorla FJ, OlaOlorun A, Tarpley JL. Intussusception in children: international perspective. World J Surg. 1996;20:1035–40.CrossRefPubMed Meier DE, Coln CD, Rescorla FJ, OlaOlorun A, Tarpley JL. Intussusception in children: international perspective. World J Surg. 1996;20:1035–40.CrossRefPubMed
4.
5.
Zurück zum Zitat Bilimoria KY, Bentrem DJ, Wayne JD, Ko CY, Bennett CL, Talamonti MS. Small bowel cancer in the United States: changes in epidemiology, treatment, and survival over the last 20 years. Ann Surg. 2009;249:63–71.CrossRefPubMed Bilimoria KY, Bentrem DJ, Wayne JD, Ko CY, Bennett CL, Talamonti MS. Small bowel cancer in the United States: changes in epidemiology, treatment, and survival over the last 20 years. Ann Surg. 2009;249:63–71.CrossRefPubMed
6.
Zurück zum Zitat Gleason D, Miller-Hammond KE, Gibbs JF. Small bowel cancer. In: Chu QD, Gubbs JF, Zibari GB, editors. Surgical Oncology: A Practical and Comprehensive Approach. New York: Springer–Verlag; 2014. p. 217–234. Gleason D, Miller-Hammond KE, Gibbs JF. Small bowel cancer. In: Chu QD, Gubbs JF, Zibari GB, editors. Surgical Oncology: A Practical and Comprehensive Approach. New York: Springer–Verlag; 2014. p. 217–234.
7.
Zurück zum Zitat Bosman FT, Carneiro F, Hruban RH, Theise ND. WHO classification of tumours of the digestive system (IARC WHO Classification of Tumours). 4th ed. World Health Organization; 2010. Bosman FT, Carneiro F, Hruban RH, Theise ND. WHO classification of tumours of the digestive system (IARC WHO Classification of Tumours). 4th ed. World Health Organization; 2010.
8.
Zurück zum Zitat Fletcher JW, Djulbegovic B, Soares HP, Siegel BA, Lowe VJ, Lyman GH, et al. Recommendations on the use of 18F-FDG PET in oncology. J Nucl Med. 2008;49:480–508.CrossRefPubMed Fletcher JW, Djulbegovic B, Soares HP, Siegel BA, Lowe VJ, Lyman GH, et al. Recommendations on the use of 18F-FDG PET in oncology. J Nucl Med. 2008;49:480–508.CrossRefPubMed
9.
Zurück zum Zitat Leader M, Collins M, Patel J, Henry K. Vimentin: an evaluation of its role as a tumour marker. Histopathology. 1987;11:63–72.CrossRefPubMed Leader M, Collins M, Patel J, Henry K. Vimentin: an evaluation of its role as a tumour marker. Histopathology. 1987;11:63–72.CrossRefPubMed
10.
Zurück zum Zitat Kim YH, Blake MA, Harisinghani MG, Archer-Arroyo K, Hahn PF, Pitman MB, et al. Adult intestinal intussusception: CT appearances and identification of a causative lead point. Radiographics. 2006;26:733–44.CrossRefPubMed Kim YH, Blake MA, Harisinghani MG, Archer-Arroyo K, Hahn PF, Pitman MB, et al. Adult intestinal intussusception: CT appearances and identification of a causative lead point. Radiographics. 2006;26:733–44.CrossRefPubMed
11.
Zurück zum Zitat Byrne A, Goeghegan T, Govender P, Lyburn I, Colhoun E, Torreggiani W. The imaging of intussusception. Clin Radiol. 2005;60:39–46.CrossRefPubMed Byrne A, Goeghegan T, Govender P, Lyburn I, Colhoun E, Torreggiani W. The imaging of intussusception. Clin Radiol. 2005;60:39–46.CrossRefPubMed
12.
Zurück zum Zitat Chamroonrat W, Cheng G, Servaes S, Zhuang H. Intussusception incidentally detected by FDG-PET/CT in a pediatric lymphoma patient. Ann Nucl Med. 2010;24:555–8.CrossRefPubMed Chamroonrat W, Cheng G, Servaes S, Zhuang H. Intussusception incidentally detected by FDG-PET/CT in a pediatric lymphoma patient. Ann Nucl Med. 2010;24:555–8.CrossRefPubMed
13.
Zurück zum Zitat Kang HJ, Beylergil V, Price AP, Abramson SJ, Carrasquillo JA. FDG PET/CT detection of intussusception caused by lymphoma in a pediatric patient. Clin Nucl Med. 2014;39:97–8.CrossRefPubMed Kang HJ, Beylergil V, Price AP, Abramson SJ, Carrasquillo JA. FDG PET/CT detection of intussusception caused by lymphoma in a pediatric patient. Clin Nucl Med. 2014;39:97–8.CrossRefPubMed
14.
Zurück zum Zitat Ha-Kawa S, Ueno Y. Intussusception caused by an ileocecal lymphoma disclosed on 18F-FDG-PET/CT. Intern Med. 2013;52:827–8.CrossRefPubMed Ha-Kawa S, Ueno Y. Intussusception caused by an ileocecal lymphoma disclosed on 18F-FDG-PET/CT. Intern Med. 2013;52:827–8.CrossRefPubMed
15.
Zurück zum Zitat Domizio P, Owen R, Shepherd N, Talbot I, Norton A. Primary lymphoma of the small intestine A clinicopathological study of 119 cases. Am J Surg Pathol. 1993;17:429–42.CrossRefPubMed Domizio P, Owen R, Shepherd N, Talbot I, Norton A. Primary lymphoma of the small intestine A clinicopathological study of 119 cases. Am J Surg Pathol. 1993;17:429–42.CrossRefPubMed
16.
Zurück zum Zitat Lee JW, Kim S-K, Park JW, Lee H-S. Unexpected small bowel intussusception caused by lung cancer metastasis on 18 F-fluorodeoxyglucose PET-CT. Ann Thorac Surg. 2010;90:2037–9.CrossRefPubMed Lee JW, Kim S-K, Park JW, Lee H-S. Unexpected small bowel intussusception caused by lung cancer metastasis on 18 F-fluorodeoxyglucose PET-CT. Ann Thorac Surg. 2010;90:2037–9.CrossRefPubMed
Metadaten
Titel
Incidentally Detected Small Intestine Intussusception Caused by Primary Small Intestine Carcinoma on 18F-FDG PET/CT
verfasst von
Hyunjong Lee
So Won Oh
Yu Kyeong Kim
Publikationsdatum
10.01.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Nuclear Medicine and Molecular Imaging / Ausgabe 3/2017
Print ISSN: 1869-3474
Elektronische ISSN: 1869-3482
DOI
https://doi.org/10.1007/s13139-016-0464-3

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