Multiple Subcutaneous F-FDG-avid Granulomas Due to Enoxaparin Injection.

Mol Imaging Radionucl Ther

University of Health Sciences Turkey, İstanbul Training and Research Hospital, Clinic of Nuclear Medicine, İstanbul, Turkey.

Published: June 2022

A 67-year-old female patient with metastatic gastric adenocarcinoma was referred to fluorine-fluorodeoxyglucose (F-FDG) positron emission tomography/computed tomography (PET/CT) for restaging. PET/CT revealed liver metastasis and the patient received six-cycles of chemotherapy. On control F-FDG PET/CT the liver lesion disappeared but newly formed multiple foci of increased uptake in the subcutaneous adipose tissues of the abdominal wall were detected. The uptake was related to nodular lesions resulting from an idiosyncratic reaction to enoxaparin and from local trauma through repeated injections.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9246302PMC
http://dx.doi.org/10.4274/mirt.galenos.2021.87487DOI Listing

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