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 journalArticle

Abstract

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
Volume23
Issue number12
DOIs
StatePublished - 1998
Externally publishedYes

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Hemorrhage
Radionuclide Imaging
Jejunum
Abdomen
Laparotomy
Angiography
Arteries

Keywords

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

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Intraoperative localization of jejunal bleeding due to Dieulafoy's disease using Tc-99m RBC. / Geschwind, J. F H; Price, D. C.; Laberge, J.; Mulvihill, S. J.

In: Clinical Nuclear Medicine, Vol. 23, No. 12, 1998, p. 839-841.

Research output: Contribution to journalArticle

Geschwind, J. F H ; Price, D. C. ; Laberge, J. ; Mulvihill, S. J. / Intraoperative localization of jejunal bleeding due to Dieulafoy's disease using Tc-99m RBC. In: Clinical Nuclear Medicine. 1998 ; Vol. 23, No. 12. pp. 839-841.
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