Kumar A, Pham D H, Meindok H, Aggarwal S, Simons M E
Department of Radiology, Toronto Hospital-Western Division, Ontario, Canada.
J Nucl Med. 1992 Aug;33(8):1548-9.
Since abdominal aneurysms are common in the elderly, it is not unusual to see incidental aneurysms on renal scintigraphy performed for other reasons. However, the initial discovery of a bleeding aneurysm on a renal scan in a patient with salmonella septicemia who has no other obvious focus of infection should be considered suspicious for mycotic aneurysm. A prompt diagnosis is crucial to avoid catastrophic outcome associated with delayed surgical intervention.
由于腹主动脉瘤在老年人中很常见,因此在因其他原因进行的肾脏闪烁扫描中偶然发现动脉瘤并不罕见。然而,在没有其他明显感染灶的沙门氏菌败血症患者的肾脏扫描中首次发现出血性动脉瘤,应怀疑为霉菌性动脉瘤。及时诊断对于避免因延迟手术干预而导致的灾难性后果至关重要。