Active bleeding in hematoma of the abdominal rectus muscle shown by Tc-99m red blood cell scintigraphy: compared with CT.
A patient with cirrhosis of the liver complicated with left rectus muscle hematoma following paracentesis underwent consecutive noncontrast CT images and a novel Tc-99m red blood cell (RBC) bleeding scan. Six liters of clear yellow fluid were withdrawn. Progressive enlargement of a left rectus muscle hematoma was diagnosed by 3 consecutive CT scans and confirmed by a Tc-99m RBC bleeding scan. Although consecutive CT scans showed progressive enlargement of the hematoma, the radionuclide study showed an active bleeding site.
Shih
Wei-Jen
WJ
Nuclear Medicine Service, Lexington VA Medical Center, 1101 Veterans Drive, Lexington, KY 40502, USA. wshih0@uky.edu
Shih
George
G
Huang
Wen-Sheng
WS
D000009:Abdominal Muscles / Q000000981:diagnostic imaging*; D004912:Erythrocytes / Q000000981:diagnostic imaging*; D006406:Hematoma / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013667:Technetium; D014057:Tomography, X-Ray Computed
D019275:Radiopharmaceuticals; D013667:Technetium