[Alteration in the biodistribution of 99mTc-albumin microspheres after its administration through a canalized umbilical vein].
We present the case of a newborn female patient with a suspected right hypoplastic lung who was referred to our Service to perform a perfusion lung scintigraphy. The tracer (99mTc-albumin microspheres) was injected with a central catheter through the umbilical vein. The lung scan showed abnormal extrapulmonary activity that was attributed to an erroneous canalization (catheter in Arantius duct). A new study, with injection through the peripheral vein, showed the lung perfusion, with a global decrease of activity in the right lung. This case demonstrates a cause of abnormal extrapulmonary perfusion tracer uptake, verifying that using the correct access route is mandatory.
Pacheco Capote
C
C
Servicio de Medicina Nuclear. Hospital Reina Sofía. Córdoba.
Vallejo Casas
J A
JA
Torres Avisbal
M
M
González
F M
FM
Infante de la Torre
J R
JR
Arias Blanco
C
C
Latre Romero
J M
JM
D000418:Albumins / Q000008:administration & dosage; D001682:Biological Availability; D002404:Catheterization; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007275:Injections, Intravenous; D008168:Lung / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000378:metabolism; D008863:Microspheres; D011877:Radionuclide Imaging; D013667:Technetium / Q000008:administration & dosage / Q000493:pharmacokinetics*; D014471:Umbilical Veins
D000418:Albumins; D013667:Technetium