Inflammatory and Ischemic Post Liver Transplant Complications Mimic Malignancy on 18F-FDG PET/CT | Zendy

William Makis | Zendy; Anthony Ciarallo | Zendy; Stephan Probst | Zendy

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Inflammatory and Ischemic Post Liver Transplant Complications Mimic Malignancy on 18F-FDG PET/CT

Author(s) -

William Makis,

Anthony Ciarallo,

Stephan Probst

Publication year - 2018

Publication title -

molecular imaging and radionuclide therapy

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.292

H-Index - 7

eISSN - 2147-1959

pISSN - 2146-1414

DOI - 10.4274/mirt.03371

Subject(s) - medicine , malignancy , hasta , liver transplantation , nuclear medicine , positron emission tomography , radiology , transplantation , pathology , gynecology

A 65-year-old male patient with a one year history of liver transplantation was referred for an 18 F-fluoro-2-deoxy-D-glucose ( 18 F-FDG) positron emission tomography/computed tomography (PET/CT) to rule out post transplant lymphoproliferative disease. Multiple foci of intense abnormal 18 F-FDG uptake were seen in the transplanted liver which were concerning for malignancy. Explantation of the liver approximately 1 month following the PET/CT revealed multiple inflammatory and ischemic changes including large bile duct necrosis, acute cholangitis, bile duct obstruction changes and periportal fibrosis, with no evidence of malignancy. We present the 18 F-FDG PET/CT image findings of this case.

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