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Title Gastrointestinal bleeding from an unusual etiology. Demonstration by Tc-99m RBC scintigraphy
Creator/Author Schneider, M. ; Siegel, M.E.
Publication Date1984 Apr 01
OSTI IdentifierOSTI ID: 6630413
Other Number(s)CODEN: CNMED
Resource TypeJournal Article
Resource RelationClin. Nucl. Med. ; Vol/Issue: 9:4
Research OrgUniv. of Southern California Medical Center, Los Angeles
Subject550601 -- Medicine-- Unsealed Radionuclides in Diagnostics; ;ERYTHROCYTES-- LABELLING;GASTROINTESTINAL TRACT-- SCINTISCANNING;HEMORRHAGE-- DIAGNOSIS; ACCIDENTS;INJURIES;ISOMERIC NUCLEI;PATIENTS;SURGERY;TECHNETIUM 99
Related SubjectBETA DECAY RADIOISOTOPES;BETA-MINUS DECAY RADIOISOTOPES;BIOLOGICAL MATERIALS;BLOOD;BLOOD CELLS;BODY FLUIDS;COUNTING TECHNIQUES;DIAGNOSTIC TECHNIQUES;DIGESTIVE SYSTEM;HOURS LIVING RADIOISOTOPES;INTERMEDIATE MASS NUCLEI;ISOMERIC TRANSITION ISOTOPES;ISOTOPES;MATERIALS;MEDICINE;NUCLEI;ODD-EVEN NUCLEI;PATHOLOGICAL CHANGES;RADIOISOTOPE SCANNING;RADIOISOTOPES;SYMPTOMS;TECHNETIUM ISOTOPES;YEARS LIVING RADIOISOTOPES
Description/Abstract A 42-year-old man was admitted with hematochezia.^Approximately one hour prior to admission, this industrial worker was attempting to disengage a jammed staple gun when a staple dislodged accidently .^Approximately one-half hour later, he noted bright red blood per rectum.^Shortly after admittance an emergency gastrointestinal bleeding scintigraphy study was performed.^Ten mCi of in vitro labeled Tc-99m RBCs were injected.^Sequential 500 K images were obtained over the abdomen every 5 minutes for 40 minutes.^Three representative images are shown, demonstrating active gastrointestinal bleeding.^The patient was taken to the operating room were a distal jejunal bleed was seen.^Enterostomy was performed and the vessel was ligated.^This interesting case demonstrates the pathophysiology of an unusual cause of gastrointestinal bleeding.
Country of PublicationUnited States
LanguageEnglish
FormatPages: 243
System Entry Date2001 May 13

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