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. 2012 Apr;21(1):35-7.
doi: 10.4274/Mirt.021917. Epub 2012 Apr 1.

Intense FDG Uptake around the Inguinal Surgical Mesh 5 Years after Operation: Case Report and Review of the Literature

Tatiana Bahçeci  1 , Gül Nihal Nursal, Mehmet Aydın
Affiliations

Intense FDG Uptake around the Inguinal Surgical Mesh 5 Years after Operation: Case Report and Review of the Literature

Tatiana Bahçeci et al. Mol Imaging Radionucl Ther. 2012 Apr.

Abstract

We present the case of a 40-year-old man who underwent a FDG PET/CT study for restaging of renal cell carcinoma treated with left nephrectomy, for suspected metastasis in lung and retroperitoneal lymph nodes. The patient had a history of left inguinal hernia repair with implantation of mesh prosthesis 5 years ago. PET/CT image revealed linear intense FDG uptake in left inguinal region most likely corresponding to a persistent foreign body reaction. In this article, a case with an intense FDG uptake around mesh prosthesis after many years was reported, and a summary of the literature about surgical mesh and foreign body reaction causing FDG uptake was reviewed.

Conflict of interest: None declared.

Keywords: Positron emission tomography; fluorodeoxyglucose F-18; foreign-body reaction; surgical mesh.

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Figures

Figure 1
Figure 1. A, B, C. Maximum intensity projection (MIP) images (A) andcoronal PET image (B) show increased FDG uptake on left inguinalregion (arrows). Coronal CT image (C) demonstrates soft tissue thickening(white arrow)
Figure 2
Figure 2. A, B. Axial PET image of the pelvic region shows an intenseFDG uptake at left anterior abdominal wall corresponding to repairedhernia region with surgical mesh implant, with a maximum standardizeduptake value (SUV) of 17.5. Axial CT image demonstrates softtissue thickening including a hypodense area
See this image and copyright information in PMC

References

    1. Mittra E, Quon A. Positron emission tomography/computed tomography: the current technology and applications. Radiol Clin North Am. 2009;47:147–160. - PubMed
    1. Yilmaz M, Sevinc A, Aybasti N, Celen Z, Zincirkeser S. FDG Uptake in Abdominal Mesh Implant on FDG PET/CT. Clin Nucl Med. 2008;33:351–352. - PubMed
    1. Koljevic-Markovic A, Orcurto MV, Doenz F, Delaloye AB, Prior JO. Persistent FDG Uptake Around an Inguinal Mesh Prosthesis 25 Years After Implantation. Clin Nucl Med. 2007;32:242–243. - PubMed
    1. Aide N, Deux JF, Peretti I, Mabille L, Mandet J, Callard P, Talbot JN. Persistent foreign body reaction around inguinal mesh prostheses: a potential pitfall of FDG PET. AJR Am J Roentgenol. 2005;184:1172–1177. - PubMed
    1. Schumpelick V, Fitzgibbons RJ. Hernia Repair Sequelae. In: Schumpelick V, Fitzgibbons RJ (eds), editors. Risk for infection. Berlin: Springer-Verlag; 2010. pp. 97–143.