Detection of Rare Gallbladder Microperforation by 18F-FDG PET/CT in a Patient with Maxillary Sinus Cancer

Zehranur Tosunoğlu1, Selim Doğan2, Ceyda Turan Bektaş3

  • 1University of Health Sciences Türkiye, İstanbul Training and Research Hospital, Clinic of Nuclear Medicine, İstanbul, Türkiye.

Insights

Gallbladder perforation, a rare but serious complication of cholecystitis, can lead to abscesses. This case highlights diagnosing a subcapsular abscess using 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) in a cancer patient.

Area of Science:

  • Gastroenterology
  • Radiology
  • Oncology

Background:

  • Gallbladder perforation is a severe complication of cholecystitis, occurring in 2-11% of cases.
  • Pericholecystic abscesses resulting from gallbladder perforation are infrequent.
  • Prompt diagnosis of gallbladder perforation is crucial due to high morbidity and mortality.

Purpose of the Study:

  • To present a rare case of a subcapsular abscess secondary to gallbladder microperforation.
  • To illustrate the utility of 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) in diagnosing such abscesses.

Main Methods:

  • A patient with maxillary sinus cancer underwent FDG-PET/CT for restaging.
  • The imaging incidentally revealed a subcapsular abscess.
  • The findings were correlated with clinical presentation.

Main Results:

  • FDG-PET/CT successfully identified a subcapsular abscess attributed to gallbladder microperforation.
  • The imaging provided crucial diagnostic information in a patient undergoing cancer restaging.

Conclusions:

  • Subcapsular abscesses secondary to gallbladder microperforation are rare but can be detected by FDG-PET/CT.
  • FDG-PET/CT can play a role in the diagnosis of unexpected gallbladder complications, even during oncologic imaging.