case_images: PMC10800964_01
case_images: 99mTc-NaTcO4 SPECT/CT: The Maximum Intensity Projection (MIP) image (A) and coronal SPECT/CT (B) demonstrate radiotracer uptake in the intestines, while the axial SPECT/CT (C) indicates the site of perforation at the terminal ileum (arrow). After conservative treatment, re-examination with SPECT/CT shows radiotracer uptake in the bladder and no radiotracer uptake in the intestines on the MIP (D) and coronal SPECT/CT (E). The axial SPECT/CT (F) confirms the presence of bladder perforation (arrowhead).
case_images: fmed-10-1327295-g001.jpg
case_images: PMC10800964_01_fmed-10-1327295-g001.jpg
case_images: fig1
case_images: The Maximum Intensity Projection (MIP) image (Figure 1A) and coronal SPECT/CT (Figure 1B) demonstrate radiotracer uptake in the intestines, while the axial SPECT/CT (Figure 1C) indicates the site of perforation at the terminal ileum (arrow). Intriguingly, no presence of imaging agent was detected within the intestinal lumen; instead, it was observed to traverse through the dialysis tube and accumulate within the bladder (Figure 1D, MIP; Figure 1E, coronal SPECT/CT; Figure 1F, axial SPECT/CT).