99mTc-RBC SPECT/CT for Duodenal Bleeding Point Detection

Seo Young Kang; Byung Seok Moon; Hye Ok Kim; Hai Jeon Yoon; Bom Sahn Kim

doi:10.1097/RLU.0000000000003176

^99mTc-RBC SPECT/CT for Duodenal Bleeding Point Detection

Seo Young Kang, Byung Seok Moon, Hye Ok Kim, Hai Jeon Yoon, Bom Sahn Kim

Department of Nuclear Medicine

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

This is a case of a 63-year-old man who presented with acute melena and low hemoglobin. Upper and lower gastrointestinal evaluations failed to localize the bleeding focus. 99mTc-RBC planar scintigraphy identified 2 sites of suspected bleeding in the lower abdomen area. Subsequent SPECT/CT was performed and identified the precise main focus of active bleeding, the second and third parts of the duodenum, and also described the blood accumulation in the jejunum. Esophagogastroduodenoscopy was immediately performed, and results confirmed spurting blood from the small vessel with multiple ulcers in the second part of the duodenum.

Original language	English
Pages (from-to)	E411-E412
Journal	Clinical Nuclear Medicine
Volume	45
Issue number	9
DOIs	https://doi.org/10.1097/RLU.0000000000003176
State	Published - 1 Sep 2020

Bibliographical note

Publisher Copyright:
© 2020 Wolters Kluwer Health, Inc. All rights reserved.

Keywords

GI bleeding
SPECT/CT
Tc-RBC planar scintigraphy

Access to Document

10.1097/RLU.0000000000003176

Cite this

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title = "99mTc-RBC SPECT/CT for Duodenal Bleeding Point Detection",

abstract = "This is a case of a 63-year-old man who presented with acute melena and low hemoglobin. Upper and lower gastrointestinal evaluations failed to localize the bleeding focus. 99mTc-RBC planar scintigraphy identified 2 sites of suspected bleeding in the lower abdomen area. Subsequent SPECT/CT was performed and identified the precise main focus of active bleeding, the second and third parts of the duodenum, and also described the blood accumulation in the jejunum. Esophagogastroduodenoscopy was immediately performed, and results confirmed spurting blood from the small vessel with multiple ulcers in the second part of the duodenum.",

keywords = "GI bleeding, SPECT/CT, Tc-RBC planar scintigraphy",

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AU - Kang, Seo Young

AU - Moon, Byung Seok

AU - Kim, Hye Ok

AU - Yoon, Hai Jeon

AU - Kim, Bom Sahn

PY - 2020/9/1

Y1 - 2020/9/1

N2 - This is a case of a 63-year-old man who presented with acute melena and low hemoglobin. Upper and lower gastrointestinal evaluations failed to localize the bleeding focus. 99mTc-RBC planar scintigraphy identified 2 sites of suspected bleeding in the lower abdomen area. Subsequent SPECT/CT was performed and identified the precise main focus of active bleeding, the second and third parts of the duodenum, and also described the blood accumulation in the jejunum. Esophagogastroduodenoscopy was immediately performed, and results confirmed spurting blood from the small vessel with multiple ulcers in the second part of the duodenum.

AB - This is a case of a 63-year-old man who presented with acute melena and low hemoglobin. Upper and lower gastrointestinal evaluations failed to localize the bleeding focus. 99mTc-RBC planar scintigraphy identified 2 sites of suspected bleeding in the lower abdomen area. Subsequent SPECT/CT was performed and identified the precise main focus of active bleeding, the second and third parts of the duodenum, and also described the blood accumulation in the jejunum. Esophagogastroduodenoscopy was immediately performed, and results confirmed spurting blood from the small vessel with multiple ulcers in the second part of the duodenum.

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