An incidentally found inflamed uterine myoma causing low abdominal pain, using Tc-99m-tektrotyd single photon emission computed tomography-CT hybrid imaging

• Published in: Korean journal of radiology Vol. 14; no. 5; pp. 841 - 844
• Main Authors: Zandieh, Shahin, Schütz, Matthias, Bernt, Reinhard, Zwerina, Jochen, Haller, Joerg
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Radiology 01-09-2013; 대한영상의학회
• Subjects: Abdomen; Abdominal Pain - diagnostic imaging; Abdominal Pain - etiology; Blood pressure; Case reports; Cysts; Disease; Edetic Acid - analogs & derivatives; Female; Humans; Hypertension; Incidental Findings; Leiomyoma - complications; Leiomyoma - diagnostic imaging; Localization; Medical imaging; Metastasis; Middle Aged; Neuroendocrine tumors; Nuclear Medicine; Organotechnetium Compounds; Patients; Pelvis; Physiology; Radiopharmaceuticals; Scintigraphy; Tomography; Tomography, Emission-Computed, Single-Photon - methods; Ultrasonic imaging; Uterine Neoplasms - complications; Uterine Neoplasms - diagnostic imaging; Uterus; 방사선과학; Netherlands; SPECT-CT; Uterine myoma; Tektrotyd
• ISSN: 1229-6929; 2005-8330
• DOI: 10.3348/kjr.2013.14.5.841

We report the case of a 50-year-old woman presented with a history of right hemicolectomy due to an ileocecal neuroendocrine tumor and left breast metastasis. Owing to a slightly elevated chromogranin A-level and lower abdominal pain, single photon emission computed tomography-computer tomography (SPECT-CT) was performed. There were no signs of recurrence on the SPECT-CT scan, but the patient was incidentally found to have an inflamed intramural myoma. We believe that the slightly elevated chromogranin A-level was caused by the hypertension that the patient presented. In the clinical context, this is a report of an inflamed uterine myoma seen as a false positive result detected by TC-99m-Tc-EDDA/HYNIC-Tyr3-Octreotide (Tektrotyd) SPECT-CT hybrid imaging.