Khurana Aditi, Ravindra Shubha Gadde, Garg Sumit, Jaleel Jasim, Yadav Devendra Kumar, Kumar Rakesh
Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.
Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Indian J Nucl Med. 2022 Oct-Dec;37(4):404-405. doi: 10.4103/ijnm.ijnm_127_22. Epub 2022 Dec 2.
A 13-year-old adolescent male presented with an episode of rectal bleed. He has had five such episodes in the past year where he witnessed black tarry stools mixed with fresh blood, painless, not associated with fever or hematemesis. Clinical examination revealed pallor and a soft, non-tender abdomen. Vitals were stable. Blood investigations revealed haemoglobin of 102g/L, WBC count of 10 X 109/L and platelet count of 165 × 109/L. The clotting screen was normal. Upper GI endoscopy and colonoscopy revealed no abnormality. The patient underwent Tc-99m pertechnetate scintigraphy to look for Meckel's Diverticulum in view of painless lower GI bleed.
一名13岁的青春期男性出现了一次直肠出血。在过去一年里,他有过5次这样的情况,即他看到黑色柏油样便中混有鲜血,无痛,与发热或呕血无关。临床检查发现面色苍白,腹部柔软、无压痛。生命体征稳定。血液检查显示血红蛋白为102g/L,白细胞计数为10×10⁹/L,血小板计数为165×10⁹/L。凝血检查正常。鉴于无痛性下消化道出血,患者接受了锝-99m高锝酸盐闪烁扫描以寻找梅克尔憩室。