Clinical Nuclear Medicine

Skip Navigation LinksHome > January 2014 - Volume 39 - Issue 1 > FDG PET/CT Images Demonstrating Fournier Gangrene With Bilat...
Clinical Nuclear Medicine:
doi: 10.1097/RLU.0b013e3182868077
Interesting Images

FDG PET/CT Images Demonstrating Fournier Gangrene With Bilateral Pelvic Muscle Extension in a Patient With Recurrent Rectosigmoid Cancer

Hsu, Chia-Tien MD*†; Kao, Pan-Fu MD, MSc*†; Huang, Chi-Chou MD, PhD*‡; Huang, Hsin-Hui MD; Lee, Jong-Kang MD, PhD*†

Collapse Box


Abstract: A 71-year-old male patient with Parkinsonism was referred for an 18F-FDG PET/CT scan for suspicious recurrence of rectosigmoid adenocarcinoma. The FDG PET/CT scan revealed increased FDG uptakes in the lower pelvic region around the wall of the rectal stump, with extension to the bilateral pelvic sidewalls and the right gluteous minimus muscle. In addition, multiple small air bubbles were noted in the lesions on the attenuation CT images. Fournier gangrene was diagnosed. After treatment with intravenous antibiotics and debridement with sigmoidoscopic irrigation, the patient was discharged and remained uneventful during clinical follow-up for 50 days.

© 2014 by Lippincott Williams & Wilkins


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.