Nucl Med Mol Imaging.  2017 Dec;51(4):357-359. 10.1007/s13139-016-0469-y.

Usefulness of Tc-99m Pertechnetate SPECT/CT in the Diagnosis of Testicular Infarction After Inguinal Herniorrhaphy

• Kim MH
• Kim CG
• Park SA
• Kim DW

• KMID: 2403511
• DOI: http://doi.org/10.1007/s13139-016-0469-y

Abstract

A 77-year-old male underwent open repair for a right indirect inguinal hernia and complained of right scrotal pain on the third postoperative day. Color Doppler imaging revealed decreased blood flow with heterogeneous hypoechogenicity in the right testis. A Tc-99m pertechnetate testicular scan showed diffuse hyperemia and increased uptake in the right scrotum. Additional SPECT/CT revealed a photon defect in the right testicle with increased uptake in the peri-testicular area. A subsequent operation revealed a large hematoma in the right spermatic cord and consequent right testicular infarction, and right orchiectomy was performed.

Keyword

SPECT/CT; Tc-99m pertechnetate; Testicular infarction; Testicular scan

MeSH Terms

Aged
Diagnosis*
Hematoma
Hernia, Inguinal
Herniorrhaphy*
Humans
Hyperemia
Infarction*
Male
Orchiectomy
Scrotum
Sodium Pertechnetate Tc 99m*
Spermatic Cord
Testis
Sodium Pertechnetate Tc 99m