sodium-pertechnetate-tc-99m and Hernia--Inguinal

A boy aged 1 year 8 months underwent Tc-pertechnetate scintigraphy to evaluate the cause of bloody stool. On the initial images, there was an abnormal activity in the right abdomen, which changed location to the right groin in later images. A Meckel diverticulum was identified by histopathology examination. We concluded this case of moving Meckel diverticulum was caused by the synergy between an inguinal hernia and high abdominal pressure.

Topics: Hernia, Inguinal; Humans; Infant; Male; Meckel Diverticulum; Positron Emission Tomography Computed Tomography; Radiopharmaceuticals; Sodium Pertechnetate Tc 99m

Funiculus spermaticus is exposed to invasive surgical intervention during Inguinal hernia reconstruction. Division or mechanical trauma to the spermatic artery account for serious trophic changes in the testis which, in bilateral herniotomy in particular, give rise to azoospermia. Here utilization of gamma camera scintigraphy of testes is indicated insofar as it may establish the degree of structural changes in testes as a result of mechanical injury to the spermatic chord during herniotomy which, in turn, has important prognostic implications on the fertility potential of patients. Twenty-five patients aged 3 to 48 years are covered by the study. In four of them herniotomy is associated with ipsilateral cryptorchidism and because of that orchiopexy is resorted to. In seven cases complete atrophy of testes following herniotomy is established scintigraphically. The imaging of testes fails, and functional parenchyma is lacking. In case of testicular hypoplasia, gamma-camera scintigraphy yields important information on the blood flow and blood supply to testes, as well as on intercurrent changes taking place. The radionuclide indices undergo alterations consistent with the structural changes in the parenchyma of testes. The severer the structural changes, the lower the values of radionuclide indices.

Topics: Adolescent; Adult; Child; Child, Preschool; Cryptorchidism; Gamma Cameras; Hernia, Inguinal; Humans; Intraoperative Complications; Male; Middle Aged; Postoperative Complications; Radionuclide Imaging; Scrotum; Sodium Pertechnetate Tc 99m; Testis

Topics: Adult; Diagnosis, Differential; Hernia, Inguinal; Humans; Male; Radionuclide Imaging; Sodium Pertechnetate Tc 99m; Spermatic Cord Torsion

Topics: Acute Disease; Adult; Diagnosis, Differential; Hernia, Inguinal; Humans; Male; Radionuclide Imaging; Scrotum; Sodium Pertechnetate Tc 99m; Spermatic Cord Torsion

Topics: Adolescent; Diagnosis, Differential; Hernia, Inguinal; Humans; Male; Radionuclide Imaging; Sodium Pertechnetate Tc 99m; Spermatic Cord Torsion