Precise Localization of Occult Gastrointestinal Hemorrhage Using Dynamic SPECT/CT.

Autor: Murrey DA Jr; From the *Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, OH; and †Division of Nuclear Medicine, Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA., Hall NC, Wright CL, Mankoff DA
Jazyk: angličtina
Zdroj: Clinical nuclear medicine [Clin Nucl Med] 2016 Jan; Vol. 41 (1), pp. 46-9.
DOI: 10.1097/RLU.0000000000001014
Abstrakt: Active but intermittent gastrointestinal (GI) bleeding can be readily detected with dynamic planar scintigraphic imaging. This is a case of a 48-year-old woman who presented from an outside institution with active GI bleeding on 99mTc-labeled RBC (99mTc-RBC) scintigraphy, but the upper and lower GI evaluations failed to subsequently localize the site of persistent bleeding. Repeat 99mTc-RBC planar scintigraphy identified a focus of active extravasation in the right lower quadrant of the abdomen. Dynamic SPECT/CT imaging was immediately performed and further identified the ileocecal valve region as the precise site of active extravasation, which was confirmed at surgery.
Databáze: MEDLINE