Pericardial abscess detected by Gallium-67 scintigraphy 40 years after cardiac surgery.
A 45-year-old female who had cardiac surgery 40 years earlier was transferred to our hospital because of refractory fever. Echocardiography showed an intrapericardial mass. Gallium-67 (67Ga) scintigraphy revealed abnormal accumulation at the same site of the intrapericardial mass and thoracoscopy revealed that the mass was a pericardial abscess (PA). After surgical resection, drainage and antibiotic therapy, her fever subsided and the abnormal accumulation of 67Ga disappeared. This case showed a very rare clinical course of PA and the importance of 67Ga scintigraphy for its diagnosis.
Mitsuma
Wataru
W
Division of Cardiology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Ito
Masahiro
M
Fujita
Satoru
S
Tsuchida
Keiichi
K
Takahashi
Masashi
M
Hayashi
Junichi
J
Kodama
Makoto
M
Aizawa
Yoshifusa
Y
D000038:Abscess / Q000000981:diagnostic imaging* / Q000601:surgery; D006348:Cardiac Surgical Procedures; D005260:Female; D005710:Gallium Radioisotopes; D006801:Humans; D008875:Middle Aged; D010496:Pericardium / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D011184:Postoperative Period; D011877:Radionuclide Imaging; D013906:Thoracoscopy
D005710:Gallium Radioisotopes