Cervix Abscess Mimicking Cervical Cancer Explored With 18F-FDG PET/CT and MRI

Dhomps, Anthony; Trécourt, Alexis; Tordo, Jérémie

doi:10.1097/rlu.0000000000004561

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…The mean SUVmax of 9.4 in the tubo-ovarian abscess, [4] 12.7 in urachal abscess, [5] and 17.4 in cervical cancer, respectively. [6] The sensitivity of diffusion-weighted imaging -combined MRI for diagnosing abscess has also been demonstrated in a few studies. [7]…”

Section: Discussionmentioning

confidence: 99%

Huge uterine abscess after myomectomy: A case report

Wen,

Yu,

Yin

et al. 2024

Medicine

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Rationale: Uterine abscess is a rare gynecologic entity and only a few cases have been reported so far. This study aimed to describe our clinical experience in this case. Initially, hematoma was diagnosed without detail previous medical record. Finally, laparotomy was performed due to refractory fever and highly possible diagnosis of uterine abscess. We successfully performed a hysterectomy and the patient had an uneventful recovery. Patient concerns: A 44-year-old nulliparous woman underwent myomectomy in the local hospital, 45 days ago. She complained of irregular fever (up to 40 °C) without abdominal pain since the surgery. Diagnoses: Due to lack of her detail medical record, equivocal images and her strong intention to preserve uterus, she was misdiagnosed with hematoma and treated with antibiotic treatment. Finally, intraoperative findings revealed that the huge myometrial abscess contained a mass of pus. Interventions: Laparotomy was performed due to refractory high-grade fever and highly possible diagnosis of uterine abscess. Total hysterectomy was performed to avoid the possibility of life-threatening sepsis. Outcomes: The postoperative course was uneventful and the patient was discharged 10 days after surgery. Lessons: Complete imaging examinations are recommended prior myomectomy to facilitate the differential diagnosis of postoperative complications. In addition, several measures, such as maintaining aseptic conditions during surgery and postoperative drainage, play a critical role in preventing nosocomial infections. Rare uterine abscess is often mistaken for hematoma with fever. If the patient develops high fever after myomectomy, accompanied by a mass in the myometrium, the possibility of infection or even abscess formation should not be excluded. For women who need to preserve their fertility, the early diagnosis and timely administration of appropriate medication is crucial for preventing uterine loss.

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Section: Discussionmentioning

confidence: 99%

Huge uterine abscess after myomectomy: A case report

Wen,

Yu,

Yin

et al. 2024

Medicine

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“…T2-weighted images without fat suppression are crucial for identifying the primary tumor and assessing its extent, which usually appears as an infiltrative or expansile mass with slight hyperintensity [13,15]. Some of the mimickers of cervical cancer include inflammatory processes such as infection (Actinomyces [16], Mycobacterium [17], Aspergillus [18], Klebsiella [19], Treponema [20]) and abscesses [21] or benign This confirmed the lesion to be angioleiomyoma of the cervix: a benign tumor thought to be a variant of leiomyoma. The CARE (CAse REports) guidelines and checklist were used as a reference for the preparation of this report [5,6].…”

Section: Figurementioning

confidence: 97%

“…T2-weighted images without fat suppression are crucial for identifying the primary tumor and assessing its extent, which usually appears as an infiltrative or expansile mass with slight hyperintensity [13,15]. Some of the mimickers of cervical cancer include inflammatory processes such as infection (Actinomyces [16], Mycobacterium [17], Aspergillus [18], Klebsiella [19], Treponema [20]) and abscesses [21] or benign (malakoplakia [22], cystic glandular change [23,24], endometriosis [25],…”

Section: Figurementioning

confidence: 99%

Uterine Cervical Angioleiomyoma Mimicking Squamous Cell Carcinoma

et al. 2023

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Angioleiomyoma, a rare variant of leiomyoma, is a benign tumor of mesenchymal origin. Angioleiomyomas of the female urogenital tract are extremely rare, with only six cases of uterine cervical angioleiomyoma previously reported in the literature. In this case study, we report on a 49-year-old female patient who presented with menorrhagia whose initial magnetic resonance imaging (MRI) findings suggested cervical squamous cell carcinoma (SCC). However, following the hysterectomy, histological examination confirmed the lesion to be angioleiomyoma. To the best of our knowledge, there have been no previously reported cases of angioleiomyomas presenting with MRI findings that are suggestive of uterine SCC. Recognizing that angioleiomyomas can mimic uterine malignancies on MRI may prove beneficial for future diagnostic and treatment strategies.

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