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伪装成胃肠道出血的静脉血池活性

Intravenous blood pool activity masquerading as gastrointestinal hemorrhage.

作者信息

Fleming Scott A, Keenan Andrew M

机构信息

Department of Radiology, Nuclear Medicine Service, Walter Reed National Military Medical Center, Bethesda, MD, USA.

出版信息

World J Nucl Med. 2019 Nov 7;19(1):59-60. doi: 10.4103/wjnm.WJNM_28_19. eCollection 2020 Jan-Mar.

DOI:10.4103/wjnm.WJNM_28_19
PMID:32190025
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7067126/
Abstract

Radiolabeled red blood cell (RBC) scintigraphy is a common study to detect and localize gastrointestinal hemorrhage. There are many potential entities that may result in false-positive RBC scintigraphy. Here, we present a case of enlarged feeding vessels of omental carcinomatosis which scintigraphically might be mistaken as intraluminal bowel activity and thus active hemorrhage. This case highlights the importance of reviewing correlative imaging in patients with a large neoplastic burden.

摘要

放射性标记红细胞(RBC)闪烁扫描是检测和定位胃肠道出血的常用检查。有许多潜在情况可能导致RBC闪烁扫描出现假阳性。在此,我们报告一例网膜转移癌供血血管增粗的病例,在闪烁扫描中可能会被误认为肠腔内活动,进而被误诊为活动性出血。该病例强调了对肿瘤负荷较大患者的相关影像进行评估的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/325e/7067126/cb2bb3d71ed7/WJNM-19-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/325e/7067126/cb2bb3d71ed7/WJNM-19-59-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/325e/7067126/cb2bb3d71ed7/WJNM-19-59-g001.jpg

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1
Intravenous blood pool activity masquerading as gastrointestinal hemorrhage.伪装成胃肠道出血的静脉血池活性
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2
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3
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本文引用的文献

1
Umbilical Varices: A Potential Pitfall in Gastrointestinal Bleed Scintigraphy Interpretation.脐静脉曲张:胃肠道出血闪烁扫描解读中的一个潜在陷阱。
Indian J Nucl Med. 2018 Jul-Sep;33(3):245-247. doi: 10.4103/ijnm.IJNM_28_18.
2
The SNMMI procedure standard/EANM practice guideline for gastrointestinal bleeding scintigraphy 2.0.SNMMI胃肠道出血闪烁扫描程序标准/EANM实践指南2.0
J Nucl Med Technol. 2014 Dec;42(4):308-17. doi: 10.2967/jnmt.114.147959.
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Nuclear medicine in the acute clinical setting: indications, imaging findings, and potential pitfalls.
核医学在急性临床环境中的应用:适应证、影像表现和潜在陷阱。
Radiographics. 2013 Mar-Apr;33(2):375-96. doi: 10.1148/rg.332125098.
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Tc-99m-labeled red blood cell scan showing gastrointestinal bleeding point, and also showing an incidental hepatic hemangioma.锝-99m标记红细胞扫描显示胃肠道出血点,同时还发现一个偶然的肝脏血管瘤。
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Acute gastrointestinal bleeding.急性胃肠道出血
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Abdominal wall hematomata and colonic tumor detected on labeled red blood cell scintigraphy: case report.
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Incidental detection of an abdominal aortic aneurysm during evaluation of gastrointestinal bleeding with Tc-99m-tagged erythrocytes.
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Scintigraphic detection of an occult bleed into a retroperitoneal mass using Tc-99m labeled red blood cells.
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Intraperitoneal hemorrhage diagnosed by technetium-99m labeled RBC imaging.
Clin Nucl Med. 1986 Sep;11(9):617-8. doi: 10.1097/00003072-198609000-00003.
10
Intraperitoneal bleeding demonstrated by Tc-99m labeled red blood cell scintigraphy.锝-99m标记红细胞闪烁扫描术显示腹腔内出血。
Clin Nucl Med. 1992 Oct;17(10):789-90. doi: 10.1097/00003072-199210000-00004.