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Scintigraphic Identification of Gastric Tissue in a Mediastinal Mass

Mainta, Ismini C
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/surgeryEsophagectomy/adverse effectsFemaleGastric Mucosa/pathology/radionuclide imagingHumansMediastinal Cyst/etiology/pathology/radionuclide imagingMiddle AgedMultimodal ImagingRadiopharmaceuticalsSodium Pertechnetate Tc 99mTomographyEmission-ComputedSingle-PhotonX-Ray Computed
PMID: 26571450
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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)
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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

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Deposited on : 2016-12-21

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