Diagnosis of bleeding mycotic iliac aneurysm on technetium-99m renal scan.
Since abdominal aneurysms are common in the elderly, it is not unusual to see incidental aneurysms on renal scintigraphy performed for other reasons. However, the initial discovery of a bleeding aneurysm on a renal scan in a patient with salmonella septicemia who has no other obvious focus of infection should be considered suspicious for mycotic aneurysm. A prompt diagnosis is crucial to avoid catastrophic outcome associated with delayed surgical intervention.
Kumar
A
A
Department of Radiology, Toronto Hospital-Western Division, Ontario, Canada.
Pham
D H
DH
Meindok
H
H
Aggarwal
S
S
Simons
M E
ME
D000368:Aged; D000369:Aged, 80 and over; D000785:Aneurysm, Infected / Q000150:complications / Q000000981:diagnostic imaging*; D005260:Female; D006470:Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007083:Iliac Artery; D007668:Kidney / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D012480:Salmonella Infections / Q000150:complications / Q000000981:diagnostic imaging*; D012477:Salmonella enteritidis; D016284:Technetium Tc 99m Pentetate
D016284:Technetium Tc 99m Pentetate