Vollständiger Abstract
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Intense bowel activity on 99mTc-MDP bone scintigraphy is often dismissed as urinary contamination or radiopharmaceutical instability, but persistent uptake should prompt an anatomic search. A 68-year-old woman with metastatic cervical squamous cell carcinoma after radical pelvic surgery underwent bone scintigraphy for suspected left-foot metastasis. Images showed sacral/pelvic metastases, benign-appearing calcaneal uptake, and organized colonic activity. Contrast-enhanced CT revealed a complex fistulous tract connecting the left distal ureter, vaginal stump, rectum, and sigmoid colon. Follow-up pelvic SPECT/CT localized persistent activity to the rectosigmoid lumen, confirming fistula-related intraintestinal urine. Recognition redirected interpretation from artifact to actionable urinary-enteric fistula with clinical implications.
Abstract: PubMed · Datensatz
Bibliografischer Nachweis
Publikationsdaten
- Autor:innen
- Jaeho Kim, Ajit Mathew, Sanidhya Kashyap, Madhava Krishnan Ramanathan, Changwoo Min
- Quelle
- Proceedings of the Twenty-Fourth International Conference on Architectural Support for Programming Languages and Operating Systems
- Publikation
- 2019-01-01
- Band / Ausgabe
- Nicht angegeben
- Seiten
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- Zitationen
- 19 laut Crossref
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Zitierfähiger Nachweis
Jaeho Kim, Ajit Mathew, Sanidhya Kashyap, Madhava Krishnan Ramanathan, Changwoo Min (2019). MV-RLU. Proceedings of the Twenty-Fourth International Conference on Architectural Support for Programming Languages and Operating Systems. https://doi.org/10.1097/rlu.0000000000006666
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