18 F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography in Infected Polycystic Kidney Disease

A positron emission tomography/computed tomography (PET/CT) study using 18 F-fluorodeoxyglucose ( 18 F-FDG) was performed in a 54-year-old female with polycystic kidney disease, fever, and abdominal discomfort. Cyst′s infection was suspected, but CT and U/S findings were not specific to accurately d...

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Bibliographic Details
Main Authors: Anna Paschali, Alexandros Georgakopoulos, Nikoletta Pianou, Constantinos Anagnostopoulos
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2015-01-01
Series:World Journal of Nuclear Medicine
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/1450-1147.150553
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Summary:A positron emission tomography/computed tomography (PET/CT) study using 18 F-fluorodeoxyglucose ( 18 F-FDG) was performed in a 54-year-old female with polycystic kidney disease, fever, and abdominal discomfort. Cyst′s infection was suspected, but CT and U/S findings were not specific to accurately depict pyocysts and guide surgical treatment. In PET/CT, both kidneys are enlarged with multiple cysts and little remaining parenchyma. There is intense focal or ring-shaped FDG uptake in cysts in the upper and lower poles of the left kidney indicative of active infection. There is also increased FDG uptake in para-aortic lymph nodes bilaterally. Hepatic and right renal cysts do not present increased FDG uptake. As this case illustrates, FDG PET/CT can be helpful for the precise localization of cyst infections in patients with polycystic kidney disease considered for surgical treatment.
ISSN:1450-1147
1607-3312