A case of soft tissue hematoma detected incidentally on 99m TC-labelled RBC gastrointestinal bleeding SPECT/CT

We report an incidental finding on 99mTc-labelled RBC gastrointestinal bleeding scintigraphy of a 49-year-old female patient referred to our clinic in order to localize the bleeding site. The patient has also been suffering from chronic renal insufficiency and received several interventions of femoral catheterization. During the follow-up, an intense uptake was observed at the right inguinofemoral area which is evaluated as a large soft tissue hematoma and confirmed by SPECT/CT subsequently. On the 24th h delayed image an activity accumulation along the bowel trace on the right side of the abdomen was seen as evidence of lower gastrointestinal bleeding.

Teknesyum-99m iþaretli RBC gastrointestinal kanama SPECT/CT ile rastlantýsal yumuþak doku hematomu tespit edilen olgu

Bu çalýþmada, kliniðimize baþvuran 49 yaþýnda bir kadýn hastanýn kanama yerinin lokalize edilmesi amacýyla 99mTc iþaretli RBC gastrointestinal kanama sintigrafisindeki rastlantýsal bir bulgu sunuldu. Hastanýn ayrýca kronik böbrek yetersizliði olup ve femoral kateterizasyon için çeþitli müdahaleler yapýlmýþtý. Takip sýrasýnda sað inguinofemoral bölgede büyük bir yumuþak doku hematomu olarak deðerlendirilen ve daha sonra SPECT/CT ile doðrulanan artmýþ aktivite tutulumu gözlendi. Yirmi dördüncü saatte alýnan geç görüntüde, karýn sað tarafýndaki baðýrsak hattý boyunca bir aktivite birikimi, alt gastrointestinal kanamanýn kanýtý olarak görüldü.