Document Detail


Incidental detection of gastrointestinal bleeding from an aortoenteric fistula on 99mTc leukocyte scintigraphy.
MedLine Citation:
PMID:  22996240     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 50-year-old-man with abdominal pain, who had undergone aortic aneurysm reconstructive surgery (aortic graft) 3 years before, was admitted to the hospital. A CT scan showed findings suggestive of perigraft infection. Scintigraphy with 99mTc-hexamethylpropylene amine oxime (HMPAO)-labeled leukocytes confirmed the diagnosis of aortic graft infection and documented an active concurrent bleeding in the gastrointestinal tract from a secondary aortoenteric fistula. This case illustrates the diagnosis of the precise location of the source of bleeding from aortoenteric fistula by leukocyte scintigraphy. The images aided the surgical team by revealing the aortic site of bleeding and the severity of the problem.
Authors:
Julia Cortés; Javier Villaverde; Miguel Garrido; María Pombo; Alvaro Ruibal
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  37     ISSN:  1536-0229     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-10     Completed Date:  2013-02-26     Revised Date:  2013-03-11    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1123-5     Citation Subset:  IM    
Affiliation:
Department of Nuclear Medicine, Complejo Hospitalario Universitario de Santiago de Compostela, Spain. julia.cortes.hernandez@sergas.es
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MeSH Terms
Descriptor/Qualifier:
Contrast Media / diagnostic use
Gastrointestinal Hemorrhage / etiology*,  radiography,  radionuclide imaging*
Humans
Incidental Findings*
Intestinal Fistula / complications*,  radiography,  radionuclide imaging
Leukocytes / radiography,  radionuclide imaging*
Male
Middle Aged
Technetium Tc 99m Exametazime
Tomography, X-Ray Computed
Vascular Fistula / complications*,  radiography,  radionuclide imaging
Chemical
Reg. No./Substance:
0/Contrast Media; 100504-35-6/Technetium Tc 99m Exametazime

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