Incidental Detection of Endometriosis with 18F-Fluorodeoxyglucose Positron Emission Tomography-Computed Tomography in a Patient with Cervical Intraepithelial Neoplasia and Adenomyosis

Alex Cheen Hoe Khoo; Ghee Kheng Chew

doi:10.4103/ijnm.IJNM_27_19

Incidental Detection of Endometriosis with ¹⁸F-Fluorodeoxyglucose Positron Emission Tomography-Computed Tomography in a Patient with Cervical Intraepithelial Neoplasia and Adenomyosis

Indian J Nucl Med. 2019 Apr-Jun;34(2):162-163. doi: 10.4103/ijnm.IJNM_27_19.

Authors

Alex Cheen Hoe Khoo¹, Ghee Kheng Chew²

Affiliations

¹ Department of Nuclear Medicine, Penang Adventist Hospital, Penang, Malaysia.
² Department of Obstetrics and Gynaecology, Penang Adventist Hospital, Penang, Malaysia.

Abstract

Endometriosis is commonly associated with chronic pelvic pain and its presentation varies between individuals. The only way to confirm the presence of endometriosis is via keyhole or open surgery. In the presence of hematuria, deep endometriotic infiltration needs to be considered. We share an interesting case highlighting the role of ¹⁸F-fluorodeoxyglucose positron emission tomography-computed tomography in evaluating a posterior urinary bladder wall lesion and hypodense liver lesions in a middle-aged woman with presenting with frank hematuria in the background of treated cervical intraepithelial neoplasia and adenomyosis.

Keywords: 18F-Fluorodeoxyglucose; adenomyosis; cervical intraepithelial neoplasia; endometriosis; positron emission tomography-computed tomography; urinary bladder.