Successful Localization of the Source of Hemorrhage in Patient with Post-Whipple Surgery by 99mTc-Labelled Red Blood Cell Scintigraphy

Gastrointestinal Bleeding Scintigraphy (GIBS) of T99mc-labelled red blood cells is a relatively simple examination to perform, with high diagnostic accuracy and a relatively lower radiation dose. A positive scan can either suggest surgery without further investigation or can indicate angiography, a...

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Bibliographic Details
Published inCase reports in radiology Vol. 2018; no. 2018; pp. 1 - 4
Main Authors Fathala, Ahmed L., Abouzied, Moheieldin M., Alduraibi, Alaa
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2018
Hindawi
Hindawi Limited
Subjects
Abdomen
Accuracy
Active control
Angiography
Bleeding
Blood
Case Report
Case reports
Computed tomography
Diagnostic systems
Diagnostic tests
Drug dosages
Erythrocytes
Gastroenterology
Hemorrhage
Intubation
Localization
Medical imaging
Mortality
Nuclear medicine
Pancreas
Pancreaticoduodenectomy
Patients
Pediatrics
Radiation dosage
Sulfur
Surgery
Thrombosis
Veins & arteries
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Summary:Gastrointestinal Bleeding Scintigraphy (GIBS) of T99mc-labelled red blood cells is a relatively simple examination to perform, with high diagnostic accuracy and a relatively lower radiation dose. A positive scan can either suggest surgery without further investigation or can indicate angiography, a more targeted procedure. Whipple pancreatoduodenectomy is most often performed for tumors of the head of the pancreas. Pancreatoduodenectomy has 30%–40% morbidity and mortality, and while post-pancreatoduodenectomy hemorrhage is seen in less than 10% of patients, it accounts for 11%–38% mortality. The role of imaging in patients to detect relative hemodynamic stability is essential. Computed tomography angiography (CTA) shows the cause, site, and nature of bleeding, while digital subtraction angiography (DSA) has a diagnostic as well as a therapeutic role. We present a patient who presented with active gastrointestinal bleeding (GI) bleeding after undergoing a Whipple procedure, to highlight the role of GIBS in the successful localization of a bleeding site and the guidance of digital DSA in the embolization and control of the active bleeding.
Bibliography:Academic Editor: Samer Ezziddin
ISSN:2090-6862
2090-6870
DOI:10.1155/2018/1381203