Technetium-99m labeled RBC imaging in gastrointestinal bleeding from gastric leiomyoma.
Tc-99m labeled RBC imaging is becoming increasingly useful in detecting gastrointestinal (GI) bleeding sites. A patient is presented who had massive GI bleeding from an unsuspected gastric leiomyoma in whom a Tc-99m sulfur colloid GI bleed image was negative. The Tc-99m labeled RBC imaging done on the day after sulfur colloid imaging revealed increased gastric activity due to active bleeding from an intragastric leiomyoma. Tc-99m labeled RBC imaging helped in early detection of the bleeding site resulting in its successful treatment. This experience also reinforces the assertion that Tc-99m labeled RBC imaging may be more helpful than Tc-99m sulfur colloid imaging in patients with upper GI or intermittent bleeding.
Joseph
U A
UA
Department of Nuclear Medicine, Baylor College of Medicine, Houston, Texas.
Jhingran
S G
SG
D000368:Aged; D004912:Erythrocytes; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D007889:Leiomyoma / Q000150:complications*; D008297:Male; D011877:Radionuclide Imaging; D013274:Stomach Neoplasms / Q000150:complications*; D013667:Technetium
D013667:Technetium