Inguino-scrotal bladder hernia: an unexpected finding on 68Ga-PSMA PET/CT

Abstract

Bladder herniation is an uncommon condition mimicking suspicious metastasis on PET/CT imaging. We report a 67 y/o man with prostate cancer referred for recurrence evaluation with 68Ga-PSMA-11 PET/CT. The scan showed an asymmetric site of intense tracer accumulation in the left inguino-scrotal region with the same SUVmax to the pelvic bladder. Reviewing cross sectional CT images with PET confirmed the inguino-scrotal bladder herniation.

Keywords

• bladder herniation
• 68 ga-psma
• pet/ct
• prostate cancer
• inguino-scrotal herniation