Spilled gallstone mimicking metastasis from cervix cancer on positron emission tomography – computed tomography

Table 1 Summary of history and investigation

History	History of post-menopausal bleeding, past laparoscopic cholecystectomy in a 63-year-old female
Examination	Exocervix normal; Endocervix showing necrotic tissue
Endometrial biopsy	Clear cell carcinoma
Magnetic resonance imaging	4.4 cm × 3.7 cm × 2.8 cm lesion in the cervix with extension to the lower third of the endometrium 9 mm right iliac node
Computed tomography	Suspicious intraperitoneal lesion in front the transverse colon
[18F]FDG PET/CT	1 cm × 4 cm hypermetabolic area in the peri-colic fat of the transverse colon; Hypermetabolic cervical lesion
Diagnostic laparoscopy and excisional biopsy	8-mm diameter calculus surrounded by acute and chronic inflammation with abscess formation and granuloma
Sentinel node biopsy	Negative
Treatment	Combined chemotherapy and radiotherapy
[18F]FDG PET/CT (after 4 mo)	No residual activity in the previous hypermetabolic site; Normal uterine activity
Follow-up	No recurrence after 20 mo

[18F]FDG PET/CT: Fluorine 18 fluorodeoxyglucose position emission tomography with CT.