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Case Report
Pak J Nucl Med. 2020; 10(1): 66-68

Gastrointestinal duplication cyst with ectopic gastric mucosa detected on 99mTc-pertechnetate SPECT-CT scintigraphy: a case report

Authors: Farkhanda Gillani, Muhammad Babar Imran, Owais Qadeer Gill, Muhammad Shahzad Afzal, Muhammad Naeem.

View PDF HTML FullText DOI: 10.24911/PJNMed.175-1593678918

Abstract

Background: Gastrointestinal (GI) tract duplication, or GI duplication cyst, is a rare congenital abnormality that may arise anywhere from the GI tract. We present a unique case of a 2-year-old girl having a large GI duplication cyst with ectopic gastric mucosa (EGM) diagnosed on 99mTc pertechnetate single-photon emission computed tomography-computed tomography (SPECTCT) scintigraphy. Case Presentation: A 2-year-old girl with a history of fresh bleeding per rectum and abdominal distention was referred to the nuclear medicine department for Meckel's scanning to rule out Mecke''s diverticulum. Meckel's scanning along with SPECT-CT showed abnormal radiotracer accumulation in the dilated gut loops in the right side of the abdomen simultaneously with that of the stomach, indicative of EGM in GI duplications cyst. Conclusion: We conclude that although GI duplication cyst with EGM is a rare entity, it should be kept in mind while interpreting the Meckel's scan. 99mTc pertechnetate SPECT-CT scintigraphy is a useful modality though not commonly used for the preoperative diagnosis of GI duplications cyst with EGM. This case report emphasizes the use of 99mTc pertechnetate SPECT-CT scintigraphy while evaluating the patients with lower GI bleed.

Keywords:   Ectopic gastric mucosa, gastrointestinal duplication cyst, Meckel, scintigraphy, SPECT-CT


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Gastrointestinal duplication cyst with ectopic gastric mucosa detected on 99mTc-pertechnetate SPECT-CT scintigraphy: a case report


Authors
Farkhanda Gillani
Nuclear Medicine Department, PINUM, Cancer Hospital, Faisalabad, Pakistan
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Muhammad Babar Imran
Director, PINUM, Cancer Hospital, Faisalabad, Pakistan
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Owais Qadeer Gill
Consultant Radiologist, PINUM, Cancer Hospital, Faisalabad, Pakistan
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Muhammad Shahzad Afzal
Head of Nuclear Medicine Department, PINUM, Cancer Hospital, Faisalabad, Pakistan
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Muhammad Naeem
Consultant Surgeon, PINUM, Cancer Hospital, Faisalabad, Pakistan
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Correspondence to:
. Farkhanda Gillani, Nuclear Medicine Department, PINUM, Cancer Hospital, Faisalabad, Pakistan.; farkhanda.gillani@yahoo.com

Publication history
Received 09 Jul 2020
Revised 11 Jul 2020
Accepted 23 Jul 2020
Published in print 11 Sep 2020
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How to cite this article

Pubmed Style

Gillani F, Imran MB, Gill OQ, Afzal MS, Naeem M. Gastrointestinal duplication cyst with ectopic gastric mucosa detected on 99mTc-pertechnetate SPECT-CT scintigraphy: a case report. Pak J Nucl Med. 2020; 10(1): 66-68. doi:10.24911/PJNMed.175-1593678918


Web Style

Gillani F, Imran MB, Gill OQ, Afzal MS, Naeem M. Gastrointestinal duplication cyst with ectopic gastric mucosa detected on 99mTc-pertechnetate SPECT-CT scintigraphy: a case report. http://www.pjnmed.com/?mno=7791 [Access: August 02, 2021]. doi:10.24911/PJNMed.175-1593678918


AMA (American Medical Association) Style

Gillani F, Imran MB, Gill OQ, Afzal MS, Naeem M. Gastrointestinal duplication cyst with ectopic gastric mucosa detected on 99mTc-pertechnetate SPECT-CT scintigraphy: a case report. Pak J Nucl Med. 2020; 10(1): 66-68. doi:10.24911/PJNMed.175-1593678918


Vancouver/ICMJE Style

Gillani F, Imran MB, Gill OQ, Afzal MS, Naeem M. Gastrointestinal duplication cyst with ectopic gastric mucosa detected on 99mTc-pertechnetate SPECT-CT scintigraphy: a case report. Pak J Nucl Med. (2020), [cited August 02, 2021]; 10(1): 66-68. doi:10.24911/PJNMed.175-1593678918


Harvard Style

Gillani, F., Imran, . M. B., Gill, . O. Q., Afzal, . M. S. & Naeem, . M. (2020) Gastrointestinal duplication cyst with ectopic gastric mucosa detected on 99mTc-pertechnetate SPECT-CT scintigraphy: a case report. Pak J Nucl Med, 10 (1), 66-68. doi:10.24911/PJNMed.175-1593678918


Turabian Style

Gillani, Farkhanda, Muhammad Babar Imran, Owais Qadeer Gill, Muhammad Shahzad Afzal, and Muhammad Naeem. 2020. Gastrointestinal duplication cyst with ectopic gastric mucosa detected on 99mTc-pertechnetate SPECT-CT scintigraphy: a case report. Pakistan Journal of Nuclear Medicine, 10 (1), 66-68. doi:10.24911/PJNMed.175-1593678918


Chicago Style

Gillani, Farkhanda, Muhammad Babar Imran, Owais Qadeer Gill, Muhammad Shahzad Afzal, and Muhammad Naeem. "Gastrointestinal duplication cyst with ectopic gastric mucosa detected on 99mTc-pertechnetate SPECT-CT scintigraphy: a case report." Pakistan Journal of Nuclear Medicine 10 (2020), 66-68. doi:10.24911/PJNMed.175-1593678918


MLA (The Modern Language Association) Style

Gillani, Farkhanda, Muhammad Babar Imran, Owais Qadeer Gill, Muhammad Shahzad Afzal, and Muhammad Naeem. "Gastrointestinal duplication cyst with ectopic gastric mucosa detected on 99mTc-pertechnetate SPECT-CT scintigraphy: a case report." Pakistan Journal of Nuclear Medicine 10.1 (2020), 66-68. Print. doi:10.24911/PJNMed.175-1593678918


APA (American Psychological Association) Style

Gillani, F., Imran, . M. B., Gill, . O. Q., Afzal, . M. S. & Naeem, . M. (2020) Gastrointestinal duplication cyst with ectopic gastric mucosa detected on 99mTc-pertechnetate SPECT-CT scintigraphy: a case report. Pakistan Journal of Nuclear Medicine, 10 (1), 66-68. doi:10.24911/PJNMed.175-1593678918


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