title: Life-threatening hemorrhage of an unanticipated superficial circumflex iliac artery origin imaged with Tc-99m-labeled erythrocytes.
abstract: The authors report, for the first time, the nuclear medicine diagnosis of extraperitoneal bleeding that originated from the superficial circumflex iliac artery and review the critical role of dynamic nuclear imaging techniques in the localization of sites of nonenteric hemorrhage. Dynamic imaging techniques using Tc-99m-labeled erythrocytes played a critical role in the localization of an extraperitoneal bleeding site near the entrance site of a Jackson-Pratt drain. Localization of the site remained undiagnosed before nuclear imaging despite two exploratory laparotomies and diagnostic angiography.
authors.affiliation: University of Maryland Medical System, Department of Radiology, Baltimore, USA.
authors.forename: S
authors.initials: S
authors.lastname: Passarell
authors.forename: L E
authors.initials: LE
authors.lastname: Holder
authors.forename: G
authors.initials: G
authors.lastname: Hastings
mesh_terms: D000328:Adult; D000792:Angiography; D002585:Cesarean Section / Q000009:adverse effects*; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis; D004621:Embolization, Therapeutic / Q000295:instrumentation; D004912:Erythrocytes; D005119:Extravasation of Diagnostic and Therapeutic Materials; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging*; D007813:Laparotomy; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000628:therapy; D011247:Pregnancy; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013667:Technetium
chemical_list: D019275:Radiopharmaceuticals; D013667:Technetium