Incidental vesicocolic fistula on routine bone scintigraphy: Value of additional delayed images and direct radionuclide cystography

Myung Hee Sohn, Seok Tae Lim, Young Jin Jeong, Dong Wook Kim, Hwan Jeong Jeong, Chang Yeol Yim

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

An unexpected vesicocolic fistula can be detected incidentally on routine bone scintigraphy. A 55-year-old man who had a radical colectomy for carcinoma of the sigmoid colon 1 year previously underwent bone scintigraphy to evaluate bone metastasis. Whole-body images showed an abnormal accumulation of radioactivity in the right lower quadrant of the abdomen, but the radioactivity did not precisely define a structure. Additional delayed images obtained after 15 and 24 hours of the initial image localized a vesicocolic fistula. Subsequent radionuclide cystography confirmed leakage of the radioactivity from the bladder.

Original languageEnglish
Pages (from-to)737-739
Number of pages3
JournalClinical Nuclear Medicine
Volume35
Issue number9
DOIs
StatePublished - Sep 2010
Externally publishedYes

Keywords

  • Tc-99m MDP
  • bone scintigraphy
  • radionuclide cystography
  • vesicocolic fistula

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