AI Article Synopsis

  • A 14-year-old girl experienced pain in her right lower abdomen, leading to a 99m Tc-pertechnetate scan to check for a Meckel's diverticulum.
  • The scan showed an unexpected focal uptake of the tracer in the right renal pelvis instead of the anticipated location.
  • This case highlights the need to be aware of anatomical variations and the significance of tracer behavior when diagnosing potential issues.

Article Abstract

A 14-year-old girl presented with right lower quadrant pain. A 99m Tc-pertechnetate scan with SPECT/CT was performed to exclude a Meckel's diverticulum. The images demonstrated focal tracer uptake in the right midabdomen, which appeared early and decreased over time. However, SPECT/CT revealed that this uptake corresponded to the right renal pelvis, which was located more inferior than expected. This case emphasizes the importance of recognizing anatomic variants that may cause focal tracer uptake, as well as leveraging an understanding of tracer kinetics to inform a diagnosis.

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http://dx.doi.org/10.1097/RLU.0000000000004331DOI Listing

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