Extraosseous bone tracer accumulation of the liver on 99mTc-HDP bone scintigraphy in intermittent bleeding after iatrogenic liver injury.
A 69-year-old man with common bile duct cancer and deep jaundice had complained of abdominal pain after percutaneous transhepatic biliary drainage. The laboratory workup showed reduction of serum hemoglobin level after the procedure. A 99mTc-hydroxy diphosphonate bone scan was performed for further evaluation of common bile duct cancer, and there was no abnormality of the skeletal structures. However, diffuse and hazy increased radiotracer uptake was detected on the liver. Follow-up contrast-enhanced 99mCT revealed hematoma and subcapsular hemorrhage of the liver.
Department of Nuclear Medicine, School of Medicine, Keimyung University, Daegu, Republic of Korea.
Sung Hoon
SH
Kim
Seok Kil
SK
Zeon
Byung Wook
BW
Choi
Il
I
Jo
Hae Won
HW
Kim
Kyoung Sook
KS
Won
Su Jin
SJ
Kim
D000368:Aged; D001842:Bone and Bones / Q000000981:diagnostic imaging*; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000378:metabolism*; D006801:Humans; D008099:Liver / Q000293:injuries* / Q000378:metabolism*; D008297:Male; D011849:Radioactive Tracers; D011877:Radionuclide Imaging; D013669:Technetium Tc 99m Medronate / Q000031:analogs & derivatives* / Q000378:metabolism
D011849:Radioactive Tracers; C024226:technetium Tc 99m hydroxymethylene diphosphonate; D013669:Technetium Tc 99m Medronate