Duodenal Obstruction on 99mTc-DISIDA Cholescintigraphy: A Noninvasive Approach to Bowel Obstruction Diagnosis.
We present a case study of a 56-y-old man who was admitted with acute abdominal pain and was found to have retroperitoneal hematoma from a ruptured duodenal aneurysm.99mTc-diisopropyliminodiacetic acid cholescintigraphy showed incidental absent transit of radiotracer into the distal duodenum and severe enterogastric reflux, thought to be secondary to duodenal obstruction from the hematoma. Findings were confirmed on esophagogastroduodenoscopy, and the patient improved after subsequent gastrojejunostomy.
Department of Nuclear Medicine and Molecular Imaging, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York; and asiffakh@buffalo.edu.
Asif A
AA
Fakhri
Department of Nuclear Medicine and Molecular Imaging, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York; and.
Aun
A
Hussain
Department of Biological Sciences, New Jersey Institute of Technology, Newark, New Jersey.
Abbas
A
Taiyebi
Department of Nuclear Medicine and Molecular Imaging, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York; and.
Amena Fatima
AF
Fakhri
D004380:Duodenal Obstruction / Q000000981:diagnostic imaging* / Q000601:surgery; D015390:Gastric Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D019785:Technetium Tc 99m Disofenin
D019785:Technetium Tc 99m Disofenin
99mTc-DISIDA; hepatobiliary imaging; small bowel obstruction