Scintigraphic detection of pulmonary hemorrhage using Tc-99m-sulfur colloid.
Pulmonary hemorrhage, whether in the form of hemoptysis or bleeding into the pleural space, may be a life threatening problem. While fiberoptic bronchoscopy and selective bronchial and intercostal angiography are the major diagnostic modalities, these techniques are not without risks. Two patients are described-one with massive hemoptysis from a bronchogenic carcinoma; another with pleural bleeding from a torn intercostal artery-in whom Tc-99m-sulfur colloid scintigraphy accurately located the source of hemorrhage. We conclude that Tc-99m-sulfur colloid scintigraphy may be a helpful noninvasive method to increase the sensitivity and specificity of fiberoptic bronchoscopy and bronchial angiography in patients with massive pulmonary bleeding.
D000328:Adult; D000792:Angiography; D001999:Bronchoscopy; D002283:Carcinoma, Bronchogenic / Q000150:complications; D003937:Diagnosis, Differential; D005336:Fiber Optic Technology; D006469:Hemoptysis / Q000150:complications / Q000000981:diagnostic imaging; D006470:Hemorrhage / Q000000981:diagnostic imaging*; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging*; D008175:Lung Neoplasms / Q000150:complications; D008297:Male; D008875:Middle Aged; D010994:Pleura / Q000098:blood supply; D011877:Radionuclide Imaging; D013455:Sulfur; D013667:Technetium; D013671:Technetium Tc 99m Sulfur Colloid
D013671:Technetium Tc 99m Sulfur Colloid; D013455:Sulfur; D013667:Technetium