Intestinal leakage of technetium-99m-MDP in primary intestinal lymphangiectasia.
We present a case in which a patient with primary intestinal lymphangiectasia demonstrated abnormal intestinal accumulation of tracer during 99mTc-methylene diphosphonate (MDP) skeletal scintigraphy. Early intestinal leakage with gradual colonic migration and concentration was confirmed by repeat bone scan with serial acquisitions. The mechanism for the intestinal localization of 99mTc-MDP seen in this patient is not clear. Thus, intestinal lymphangiectasia can be a cause for extra-osseous localization of bone scan agents in the intestine.
Lee
K H
KH
Department of Nuclear Medicine, Seoul National University Hospital, Korea.
Chung
J K
JK
Lee
D S
DS
Lee
M C
MC
Song
I S
IS
Koh
C S
CS
D000328:Adult; D000965:Antimony; D001842:Bone and Bones / Q000000981:diagnostic imaging*; D003102:Colloids; D003106:Colon / Q000000981:diagnostic imaging; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000000981:diagnostic imaging; D008201:Lymphangiectasis, Intestinal / Q000000981:diagnostic imaging / Q000503:physiopathology*; D061305:Lymphoscintigraphy; D017556:Technetium Compounds; D013669:Technetium Tc 99m Medronate / Q000493:pharmacokinetics
D003102:Colloids; D017556:Technetium Compounds; C019096:technetium Tc 99m antimony sulfide; D000965:Antimony; D013669:Technetium Tc 99m Medronate