Hepatorenal polycystic disease and fever: diagnostic contribution of gallium citrate Ga 67 scan and fluorine F 18 FDG-PET/CT.
A cyst infection was suspected in a patient who was on haemodialysis for renal failure secondary to hepatorenal polycystic disease with persistent fever and pain in right hypochondrium despite antibiotherapy. Radiologic exams (ultrasonography, computed tomography [CT]), however, did not show signs of infection. For surgical removal of the infected cyst, a precise location was required. This report shows how functional imaging, gallium citrate Ga 67 scan, and fluorine F 18 fluorodeoxyglucose (FDG) positron emission tomography (PET) revealed which cyst was infected; however, the fused image provided by PET/CT showed the precise, required location. The infected cyst was located on the right kidney. A week later, after nephrectomy, all symptoms disappeared.
Jiménez-Bonilla
Julio Francisco
JF
Nuclear Medicine Department, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, Santander, Spain. jjimenez@humv.es
Quirce
Remedios
R
Calabia
Emilio Rodrigo
ER
Banzo
Ignacio
I
Martínez-Rodríguez
Isabel
I
Carril
José Manuel
JM
D000038:Abscess / Q000000981:diagnostic imaging* / Q000601:surgery; D002951:Citrates; D005260:Female; D019788:Fluorodeoxyglucose F18; D005708:Gallium; D006530:Hepatorenal Syndrome / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D016891:Polycystic Kidney, Autosomal Dominant / Q000000981:diagnostic imaging* / Q000601:surgery; D049268:Positron-Emission Tomography / Q000379:methods*; D014057:Tomography, X-Ray Computed
D002951:Citrates; D019788:Fluorodeoxyglucose F18; D005708:Gallium; C103850:gallium citrate