Open AccessSplenic infarction as a pitfall on labeled red blood cell imaging
Author(s) -
Gül Ege Aktaş,
Selin Soyluoğlu Demir,
Hakan Gençhellaç,
Ali Sarıkaya
Publication year - 2016
Publication title -
indian journal of nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 13
eISSN - 0972-3919
pISSN - 0974-0244
DOI - 10.4103/0972-3919.172370
Subject(s) - medicine , melena , splenic infarction , gastrointestinal bleeding , scintigraphy , radiology , infarction , upper gastrointestinal bleeding , malignancy , spleen , pathology , endoscopy , myocardial infarction
Patient with a history of overt gastrointestinal bleeding, diabetes mellitus, hypertension, polycythemia vera, and choledocojejunostomy was hospitalized because of hematemesis and melena. An area of Technetium-99m labeled red blood cells accumulation at the splenic flexure similar to an overt bleeding area, was observed on gastrointestinal bleeding scintigraphy (GIBS). In case of underlying malignancy, abdominal computed tomography was performed and demonstrated the infarction area placed laterally in spleen, appearing as a cold region on sctintigraphic image, separating the inferomedial and upper part of splenic uptake. Splenic variants and pathologies can complicate interpretation of GIBS.