title: Vesicovaginorectal fistula on a FDG PET/CT of a patient with recurrent cervical cancer and end-stage renal disease.
abstract: A 59-year-old woman with recurrent cervical cancer and end-stage renal disease was referred for FDG PET/CT for restaging. The patient had hemodialysis for 4 years and radiotherapy 3 years ago and 1 year ago. The PET/CT scan showed recurrent cervical cancer and intense FDG radioactivity in the urinary bladder, with a small air bubble in both the urinary bladder and the vagina. After supine positioning without voiding, the delayed images showed more air bubbles with less FDG activity in the urinary bladder. The vesicovaginorectal fistula was confirmed by surgery.
authors.affiliation: School of Medicine, Chung Shan Medical University, Taichung, Taiwan.
authors.forename: Pan-Fu
authors.initials: PF
authors.lastname: Kao
authors.forename: Chih-Jen
authors.initials: CJ
authors.lastname: Tseng
authors.forename: Jui-Hung
authors.initials: JH
authors.lastname: Weng
authors.forename: Jong-Kang
authors.initials: JK
authors.lastname: Lee
mesh_terms: D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008875:Middle Aged; D064847:Multimodal Imaging; D049268:Positron-Emission Tomography; D012003:Rectal Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D002583:Uterine Cervical Neoplasms / Q000150:complications*; D014624:Vaginal Fistula / Q000150:complications / Q000000981:diagnostic imaging*
chemical_list: D019788:Fluorodeoxyglucose F18