Intraoperative localization of jejunal bleeding due to Dieulafoy's disease using Tc-99m RBC

J. F.H. Geschwind, D. C. Price, J. Laberge, S. J. Mulvihill

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


A 73-year-old man who had two previously unsuccessful ileal resections for gastrointestinal bleeding thought to be due to multiple angiodysplastic lesions again presented with acute bleeding. Results of Tc-99m RBC scintigraphy were positive, but those of celiac angiography were negative. The patient underwent laparotomy with portable intraoperative Tc-99m RBC scintigraphy, showing localization of the bleeding site to a specific segment of jejunum, which was further confirmed by evacuation and repeated imaging. Resection of that segment of jejunum was further confirmed by evidence of a bleeding submucosal artery (Dieulafoy's disease). No further bleeding occurred during operation or afterward. Portable intraoperative Tc-99m scintigraphy should be considered in managing patients with problematic gastrointestinal bleeding.

Original languageEnglish (US)
Pages (from-to)839-841
Number of pages3
JournalClinical nuclear medicine
Issue number12
StatePublished - 1998
Externally publishedYes


  • Dieulafoy's Disease
  • Gastrointestinal Bleeding
  • Portable Scintigraphy
  • Tc-99m RBC

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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