Shih W J, Domstad P A, Loh F G, Pulmano C
Clin Nucl Med. 1987 Apr;12(4):290-3. doi: 10.1097/00003072-198704000-00010.
An alcohol abuse patient complicated by chronic pancreatitis had splenic vein thrombosis leading to gastric varices and underwent abdominal Tc-99m red blood cell scintigraphy. First pass study, sequential images up to 1 hour, and a 2.5 hour image showed abnormal radioactivity in the left side of the abdomen and midabdomen. In 24 hour images, the high level of activity in the left side persisted; in addition, there was accumulation of radioactivity in the cecum, ascending, transverse colon, the splenic flexure, and descending colon. A splenectomy was performed and during the surgical procedure, a large dilated vein in the greater omentum was noted. It is reemphasized that delayed imaging up to 24 hours is important when the results of earlier images are equivocal or negative.
一名并发慢性胰腺炎的酒精滥用患者发生脾静脉血栓形成，导致胃静脉曲张，并接受了腹部Tc-99m红细胞闪烁扫描。首次通过研究、长达1小时的序列图像以及2.5小时的图像显示腹部左侧和中腹部有异常放射性。在24小时图像中，左侧的高活性持续存在；此外，放射性在盲肠、升结肠、横结肠、脾曲和降结肠中积聚。进行了脾切除术，手术过程中发现大网膜中有一条扩张的大静脉。再次强调，当早期图像结果不明确或为阴性时，长达24小时的延迟成像很重要。
