Chronic Esophageal Perforation With Periesophageal Abscess Mimicking Malignancy on FDG PET/CT

ABSTRACTA 53-year-old man was admitted because of progressive dysphagia and retrosternal pain for 20 days. Esophagogastroduodenoscopy showed an irregular submucosal bulge on the distal esophageal wall. A barium swallow showed a triangular-shaped outpouching of contrast material with minimal containe...

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Bibliographic Details
Published in:Clinical nuclear medicine 2016-06, Vol.41 (6), p.494-496
Main Authors: Dong, Aisheng, Zhang, Ling, Wang, Yang, Zuo, Changjing
Format: Article
Language:English
Subjects:
Abscess - diagnosis
Abscess - diagnostic imaging
Barium Sulfate
Chronic Disease
Contrast Media
Diagnosis, Differential
Endoscopy
Endoscopy, Digestive System
Esophageal Neoplasms - diagnostic imaging
Esophageal Perforation - diagnosis
Esophageal Perforation - diagnostic imaging
Fluorodeoxyglucose F18
Granulation Tissue - diagnostic imaging
Granulation Tissue - pathology
Humans
Image-Guided Biopsy
Male
Middle Aged
Positron Emission Tomography Computed Tomography
Radiography
Radiopharmaceuticals
Ultrasonography
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Summary:ABSTRACTA 53-year-old man was admitted because of progressive dysphagia and retrosternal pain for 20 days. Esophagogastroduodenoscopy showed an irregular submucosal bulge on the distal esophageal wall. A barium swallow showed a triangular-shaped outpouching of contrast material with minimal contained extravasation into the periesophageal area. Enhanced CT showed thickening of the distal esophagus with an area containing air and septa. FDG PET/CT showed intense FDG uptake of the thickened esophageal wall mimicking malignancy. Endoscopic ultrasonography-guided biopsy of the submucosal mass revealed granulation tissue. The imaging and pathologic findings were consistent with chronic esophageal perforation with periesophageal abscess.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0000000000001180