Case report: chronic mesenteric ischaemia as a cause of abnormal bowel uptake of labelled leucocytes.
Chronic mesenteric ischaemia is often difficult to diagnose. A high level of clinical suspicion is needed and further investigation requires invasive procedures. We present a case where weight loss and abdominal pain were dominant features and initial interpretation of a labelled leucocyte scan suggested inflammatory bowel disease. Subsequent investigations excluded this possibility and chronic ischaemia was confirmed at autopsy. Positive small bowel images using 99Tcm-HMPAO labelled leucocytes may indicate chronic ischaemia.
D000368:Aged; D002908:Chronic Disease; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply; D007962:Leukocytes / Q000000981:diagnostic imaging*; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging*; D015609:Organotechnetium Compounds; D010091:Oximes; D011877:Radionuclide Imaging; D019690:Technetium Tc 99m Exametazime; D013927:Thrombosis / Q000000981:diagnostic imaging*
D015609:Organotechnetium Compounds; D010091:Oximes; D019690:Technetium Tc 99m Exametazime