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CC BY-NC-ND 4.0 · World J Nucl Med 2022; 21(02): 161-162
DOI: 10.1055/s-0042-1750340
Case Report

18F-FDG PET/CT Imaging of Boari Flap Mimicking Urothelial Cancer Recurrence

Sharon E. Fishberg
1   Department of Urology, Hadassah Medical Center, Jerusalem, Israel
,
Ofer N. Gofrit
1   Department of Urology, Hadassah Medical Center, Jerusalem, Israel
,
Marina Orevi
2   Department of Nuclear Medicine, Hadassah Medical Center, Jerusalem, Israel
› Author Affiliations Funding There is no source of funding.
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Abstract

A 63-year-old man underwent distal ureterectomy as a treatment for urothelial carcinoma of the ureter. Reconstruction of the urinary system was accomplished by tubularizing part of the bladder roof (Boari flap). A year later, metastatic evaluation with 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) showed high metabolic activity in the reconstructed area. Thorough evaluation confirmed the presence of a bladder diverticulum (the Boari flap) with no evidence of malignancy. We present the first 18F-FDG PET/CT images of a Boari flap in the literature.

Keywords

18F-FDG PET/CT - Boari flap - local recurrence

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.


Informed Consent

The requirement to obtain informed consent was waived


Availability of Data and Material

Data sharing not applicable to this article as no datasets were generated or analyzed during the current study


Competing Interests

The authors declare that they have no competing interests


Authors' Contributions

All authors contributed to the manuscript—Prof. Gofrit and Dr. Fishberg presented and described the case and the urological procedure and follow-up.


Dr. Orevi described the radiological findings and their implications.




Publication History

Article published online:
19 July 2022

© 2022. World Association of Radiopharmaceutical and Molecular Therapy (WARMTH). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Andrade C, Narducci F, Bresson L, Leblanc E. Boari flap ureteroneocystostomy in an oncological patient. Gynecol Oncol 2016; 143 (01) 193
    CrossrefPubMedGoogle Scholar
  • 2 Zattoni F, Incerti E, Dal Moro F. et al. 18F-FDG PET/CT and urothelial carcinoma: impact on management and prognosis-a multicenter retrospective study. Cancers (Basel) 2019; 11 (05) 700
    CrossrefPubMedGoogle Scholar
  • 3 Omi M, Kanao H, Aoki Y, Okamoto S, Takeshima N. Minimally invasive diagnostic and therapeutic surgery for an intra-abdominal desmoid tumor: a case report. Gynecol Oncol Rep 2020; 32: 100560
    CrossrefPubMedGoogle Scholar