Inguino-scrotal bladder hernia: an unexpected finding on (68)Ga-PSMA-11 PET/CT

Bladder Cancer

Asia Ocean J Nucl Med Biol. 2020 Spring;8(2):141-144. doi: 10.22038/AOJNMB.2020.45247.1305.


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.