Abstract
A 73-year-old male with left hip prosthesis infection performed a 99mTc HMPAO–labelled autologous WBC (WBC) scan to evaluate the response to antibiotic therapy. Since the early planar scan, an area of increased activity was visible extending from the left groin region to the ipsilateral flank. At late planar images, the area progressively focused in the left groin, site of a painful inguinal hernia. The contextual tomographic acquisition showed increased activity partly referable to non-specific intestinal contents and partly localized at the parietal wall of the herniated intestinal loop. Our case suggests that the incidental detection of increased accumulation of WBC in correspondence of the intestinal wall of an inguinal hernia may indicate inflammatory involvement and subsequent further complications.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and /or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.
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Ilaria Zamberlan, Alberto Nieri, Luca Urso, Sara Adamantiadis, Valeria Lombardo, Mirco Bartolomei and Corrado Cittanti declare that they have no conflict of interest.
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Zamberlan, I., Nieri, A., Urso, L. et al. Complicated Inguinal Hernia Incidentally Detected on a Radiolabelled Autologous White Blood Cell Scan. Nucl Med Mol Imaging (2024). https://doi.org/10.1007/s13139-024-00870-5
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DOI: https://doi.org/10.1007/s13139-024-00870-5