Scintigraphic Identification of Gastric Tissue in a Mediastinal Mass

Mainta, Ismini C; Montet, Xavier Cédric Rodolphe; Willi, Jean-Pierre; Dulguerov, Pavel; Rager, Olivier

doi:10.1097/RLU.0000000000001078

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Title		Scintigraphic Identification of Gastric Tissue in a Mediastinal Mass
Authors		Mainta, Ismini C Montet, Xavier Cédric Rodolphe Willi, Jean-Pierre Dulguerov, Pavel Rager, Olivier
Published in		Clinical nuclear medicine. 2016, vol. 41, no. 3, p. 207-8
Abstract		We present a Tc pertechnetate scintigraphy performed in a 64-year-old woman to investigate a mediastinal cystic mass in search of residual gastric mucosa after gastrectomy. She had a history of esophagectomy and gastric pull-up for esophageal cancer. Postoperative leakage necessitated ablation of the gastric pull-up and reconstruction using part of the colon. Oral realimentation resulted in mediastinal pain and brownish discharge within the trachea, raising the suspicion of residual gastric pouch. SPECT/CT demonstrated increased tracer uptake in the median part of the mediastinal cyst, and a biopsy confirmed the presence gastric mucosa.
Keywords		Esophageal Neoplasms/surgery — Esophagectomy/adverse effects — Female — Gastric Mucosa/pathology/radionuclide imaging — Humans — Mediastinal Cyst/etiology/pathology/radionuclide imaging — Middle Aged — Multimodal Imaging — Radiopharmaceuticals — Sodium Pertechnetate Tc 99m — Tomography — Emission-Computed — Single-Photon — X-Ray Computed
Identifiers		DOI: 10.1097/RLU.0000000000001078 PMID: 26571450
Full text		Article (Published version) (220 Kb) - Free access
Structures		Faculté de médecine / Section de médecine clinique / Département des neurosciences cliniques Faculté de médecine / Section de médecine clinique / Département de radiologie et informatique médicale
Research groups		Groupe Dulguerov Pavel (ORL et chirurgie cervico-faciale) (145) Imagerie per-opératoire multi-modalité en radiologie interventionnelle (949) Laboratoire de neuroimagerie et de traceurs moléculaires innovants (984)
Citation (ISO format)		MAINTA, Ismini C et al. Scintigraphic Identification of Gastric Tissue in a Mediastinal Mass. In: Clinical nuclear medicine, 2016, vol. 41, n° 3, p. 207-8. doi: 10.1097/RLU.0000000000001078 https://archive-ouverte.unige.ch/unige:90648