FDG PET/CT Combined With 3D CT Reconstruction in Diagnosing Inflammatory Granuloma Secondary to Fish Bone Perforation of the Ascending Colon.

Clin Nucl MedOct 20, 2026 (epub)
Case ReportRadiology (Diagnostic)Nuclear MedicineGastroenterology

Zu-Gui Li

✦ AI-curated · Sources linked

Case in brief

A 71-year-old woman with 5 weeks of right-sided abdominal pain was initially evaluated for hepatobiliary disease; ultrasound and MRI showed no hepatobiliary abnormality. MRI incidentally identified an ascending-colon mass suspicious for malignancy. FDG PET/CT with 3D CT reconstruction showed a linear hyperdense object embedded in the colonic wall, with focal wall thickening and intense FDG uptake. The findings suggested a foreign-body-induced inflammatory granuloma rather than a tumor, and colonoscopy with biopsy confirmed the diagnosis.

What made this case unusual

The fish bone perforation presented as an intensely FDG-avid ascending-colon mass suspicious for malignancy; 3D CT reconstruction depicted the linear foreign body within the bowel wall.

Diagnostic / clinical pearl

An FDG-avid colonic mass can reflect foreign-body-induced inflammation. Look for a linear hyperdense object on CT, which may help distinguish an inflammatory granuloma from malignancy.

Source

PubMed · PMID 42912649

Published in Clin Nucl Med. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

ShareTelegramLinkedIn

AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

More in Radiology (Diagnostic)

Clinical ResearchPreventive Medicine / Public Health

2025 National Guidelines on the Mediterranean Diet: Executive Summary of a Joint Report by Italian Scientific Societies and the National Institute of Health Task Force on Clinical Practice Guidelines.

This systematic review and practice guideline, developed by a multidisciplinary panel using NUTRIGRADE, assessed Mediterranean diet evidence across nine health domains and one economic domain.

Nutr RevNov 12, 2026Read summary
Clinical ResearchOrthopedic Surgery

Prevention of Venous Thromboembolism after Total Hip or Knee Replacement.

This multicenter randomized comparative-effectiveness noninferiority trial compared 30 days of aspirin, warfarin, or rivaroxaban for VTE prophylaxis after elective total hip or knee arthroplasty.

N Engl J MedNov 12, 2026Read summary
Clinical ResearchAnesthesiology

Effect of discontinuing antihypertensives on perioperative hypotension in older patients before non-cardiac surgery: multicentre, randomised, double blind, controlled trial.

This multicentre, randomised, double blind, placebo controlled trial assessed whether withholding ACE inhibitors or ARBs on the morning of surgery reduces perioperative hypotension in older adults undergoing non-cardiac…

BMJNov 11, 2026Read summary

Want this personalized?

Stop searching the literature. Choose what you follow and xxcode will build your personalized medical digest.

  • Your specialties
  • Your filters and thresholds
  • Clinical Research + Case Reports, tuned separately
  • Automatic weekly delivery
  • Audio and text
Create my personalized digestSee plans

Prefer listening? Personalized audio digests are available with Pro.

Stay updated for free

Get the 3 most interesting publications in one specialty each week.

Weekly email. Unsubscribe anytime.