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Usefulness of Tc-99m Pertechnetate SPECT/CT in the Diagnosis of Testicular Infarction After Inguinal Herniorrhaphy

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Abstract

A 77-year-old male underwent open repair for a right indirect inguinal hernia and complained of right scrotal pain on the third postoperative day. Color Doppler imaging revealed decreased blood flow with heterogeneous hypoechogenicity in the right testis. A Tc-99m pertechnetate testicular scan showed diffuse hyperemia and increased uptake in the right scrotum. Additional SPECT/CT revealed a photon defect in the right testicle with increased uptake in the peri-testicular area. A subsequent operation revealed a large hematoma in the right spermatic cord and consequent right testicular infarction, and right orchiectomy was performed.

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Acknowledgements

This paper was supported by Wonkwang University in 2016.

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Authors and Affiliations

  1. Department of Nuclear Medicine, Wonkwang University School of Medicine and Institute of Wonkwang Medical Science, 895, Muwang-ro, Iksan, 54538, Republic of Korea

    Myoung Hyoun Kim, Chang Guhn Kim, Soon-Ah Park & Dae-Weung Kim

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  1. Myoung Hyoun Kim
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  2. Chang Guhn Kim
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  3. Soon-Ah Park
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  4. Dae-Weung Kim
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Correspondence to Dae-Weung Kim.

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Kim, M.H., Kim, C.G., Park, SA. et al. Usefulness of Tc-99m Pertechnetate SPECT/CT in the Diagnosis of Testicular Infarction After Inguinal Herniorrhaphy. Nucl Med Mol Imaging 51, 357–359 (2017). https://doi.org/10.1007/s13139-016-0469-y

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  • DOI: https://doi.org/10.1007/s13139-016-0469-y

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