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Giant Abdominal Aortic Aneurysm in Bone Scan

Abdominal aortic aneurysm (AAA) may be incidentally detected in three-phased bone scintigraphy. AAA should be diagnosed prior to the development of symptoms to perform elective repair surgery. We present a rare case who presented with back pain and underwent a 3-phase bone scan with Tc-99m methylene...

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Bibliographic Details
Published in:Molecular imaging and radionuclide therapy 2019-06, Vol.28 (2), p.76-78
Main Authors: Çayır, Derya, Bozkurt, Mehmet, Emer, Özdeş, Gültekin, Salih Sinan, Karacalıoğlu, Alper Özgür
Format: Article
Language:English
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Summary:Abdominal aortic aneurysm (AAA) may be incidentally detected in three-phased bone scintigraphy. AAA should be diagnosed prior to the development of symptoms to perform elective repair surgery. We present a rare case who presented with back pain and underwent a 3-phase bone scan with Tc-99m methylene diphosphonate, which revealed a giant AAA on blood-flow and blood-pool phases in addition to bone metastases. F-18-fluorodeoxyglucose positron emission tomography/computed tomography (CT) identified hypermetabolic liver, lung, and bone lesions, and CT component of the study confirmed the diagnosis of AAA with a maximum diameter of 92 mm. The initial two phases of a 3-phase bone scintigraphy are decisive to identify vascular pathologies that may be life-threatening, if left untreated.
ISSN:2146-1414
2147-1959
DOI:10.4274/mirt.galenos.2018.55477