Engelsk titel: Scintigraphic localization of colonic bleeding
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Författare:
Aspevik RK
;
Miskowiak J
;
Bud M
Email: ranveigaspevik@hotmail.com
Språk: Nor
Antal referenser: 15
Dokumenttyp:
Fallbeskrivning
UI-nummer: 01081776
Sammanfattning
INTERPRETATION : Scintigraphy is of value in localisation of gastrointestinal bleeding and should be performed in a continuous manner until the bleeding focus is localised. Secretion of unbound technetium through the mucosa of the stomach and its presence in the urinary tract should be taken in account.
RESULTS : No bleeding was revealed after 60 minutes, but two hours later a slight radioactivity was encountered in the right part of the abdomen and the later images localised the bleeding to the right colon. The bleeding ceased after right-sided hemicolectomy.
MATERIAL AND METHODS : We describe a case of severe gastrointestinal bleeding where these methods failed. Scintigraphy after labelling of erythrocytes with 99m technetium was performed in a continuous manner for 60 minutes. Scintigrams were also taken three, ten and 23 hours after the injection.
BACKGROUND : Endoscopy and, occasionally, X-ray studies are used to discover the focus of a gastrointestinal bleeding.