Visualization of gastrointestinal bleeding during Tc-99m DTPA renal scintigraphy
Clinical Nuclear Medicine, cilt.19, sa.7, ss.642-643, 1994 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 19 Sayı: 7
- Basım Tarihi: 1994
- Doi Numarası: 10.1097/00003072-199407000-00019
- Dergi Adı: Clinical Nuclear Medicine
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.642-643
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
A 21-year-old man underwent ileoileostomy, and right hemicolectomy following an abdominal gunshot injury. An enterocutaneous fistula developed in the right hypochondrium. The patient started to have melena 7 days after surgery. Melena discontinued 4 days after initialization of medical therapy. On day 15 after the operation, an elevated serum urea level of 75 mg/dL was detected. Tc-99m DTPA renal scintigraphy revealed mildly impaired renal function and an unexpected area of tracer accumulation in the mid and distal right periureteric region suggested the possibility of a urine leakage. However the patient's IVP revealed no urinary tract abnormality. Two days later, a Tc-99m RBC scintigraphy was performed and demonstrated a bleeding site at the same localization, previously interpreted as urine leakage on Tc- 99m DTPA renal scintigraphy.