Fasciola Hepatica Mimicking Malignancy on [.sup.18]F-Fluorodeoxyglucose-Positron Emission Tomography/Computed Tomography/[.sup.18]F-Florodeoksiglukoz-Pozitron Emisyon Tomografi/Bilgisayarli Tomografide Maligniteyi Taklit Eden Fasciola Hepatica

• Published in: Molecular imaging and radionuclide therapy Vol. 25; no. 3; p. 143
• Main Authors: Surucu, Erdem, Demir, Yusuf, Dulger, Ahmet C, Batur, Abdussamed, Olmez, Sehmus, Kitapci, Mehmet T
• Format: Journal Article
• Language: English
• Published: Galenos Yayinevi Tic. Ltd 01-10-2016
• Subjects: Care and treatment; Diagnosis; Endoscopy; Liver fluke; Magnetic resonance imaging; Neuroendocrine tumors; Positron emission tomography
• ISSN: 2146-1414
• DOI: 10.4274/mirt.97759

A 48-year-old female with complaints of gastrointestinal symptoms such as abdominal pain, fatigue, vomiting, nausea, and weight loss was diagnosed with neuroendocrine tumor after removal of a 2 mm lesion from the stomach with endoscopic biopsy. Her magnetic resonance imaging that was performed due to on-going symptoms showed multiple linear hypointense lesions in the liver. Positron emission tomography/computed tomography (PET/CT) scan was performed for differential diagnosis, which showed high fluorodeoxyglucose (FDG) uptake in these lesions. Clinical and laboratory findings revealed the final diagnosis as Fasciola hepatica. The imaging features of this case is presented to aid in differentiating this infectious disease from malignancy and avoid misdiagnosis on FDG-PET/CT. Keywords: Fasciola hepatica, [.sup.18]F-fluorodeoxyglucose-positron emission tomography/computed tomography, infection Kirk-sekiz yasinda karin agrisi, yorgunluk, bulanti, kusma ve kilo kaybi sikayetleri ile basvuran kadin hastada midede noroendokrin tumor saptandi. Sikayetlerinin devam etmesi uzerine yapilan manyetik rezonans goruntulemede karacigerde multipl odakta lineer hipointens alanlar saptandi. Ayirici tani amaciyla pozitron emisyon tomografisi/bilgisayarli tomografi (PET/BT) cekimi icin klinigimize refere edilen hastanin PET/BT goruntulerinde multipl odakta yuksek florodeoksiglukoz tutulumu gozlendi. Hastaya klinik ve laboratuvar tetkikleri ile Fasciola hepatica tanisi kondu. Bu olgu, enfeksiyoz hastaliklarin maligniteden ayrimi ve PET/BT'de yanlis degerlendirmenin onlenmesi amaciyla bildirilmektedir. Anahtar kelimeler: Fasciola hepatica, [.sup.18]F-florodeoksiglukoz-pozitron emisyon tomografi/bilgisayarli tomografi, enfeksiyon