Gastrointestinal bleeding diagnosed by red blood cell scintigraphy in a patient with aortic stenosis: a case of Heyde syndrome.

Autor: Corrêa PL; Hospital Pró-Cardíaco, Nuclear Medicine Service; and Procep, Rio de Janeiro, Brazil. patricialavatori@terra.com.br, Felix RC, Azevedo JC, Silva PR, Oliveira AC Jr, Cortes D, Dohmann HF, Mesquita CT
Jazyk: angličtina
Zdroj: Clinical nuclear medicine [Clin Nucl Med] 2005 Apr; Vol. 30 (4), pp. 231-5.
DOI: 10.1097/01.rlu.0000155984.14938.28
Abstrakt: The authors report a case of small bowel bleeding diagnosed by Tc-99m-labeled red blood cell (RBC) scintigraphy during the postoperative period after aortic valve replacement. There is a relationship between aortic valve stenosis and gastrointestinal bleeding in elderly patients, called Heyde syndrome. The described patient had chronic anemia that worsened after surgery. RBC scintigraphy localized the source of bleeding from jejunal angiodysplasia confirmed by mesenteric angiography. This case illustrates the diagnostic information provided by RBC scintigraphy in this syndrome.
Databáze: MEDLINE