Positive Technetium-99m-Red Blood Cell Gastrointestinal Bleeding Scan after Barium Small-Bowel Study

Patrice K. Rehm, Frank B. Atkins, Harvey A. Ziessman

Research output: Contribution to journalArticlepeer-review

Abstract

A 53-yr-old man with hepatic insufficiency and portal hypertension was hospitalized and underwent a work-up for gastrointestinal bleeding requiring multiple transfusions. The initial evaluation included a negative upper and lower endoscopy and a barium exam of the small bowel. Both studies failed to demonstrate any pathology to explain the bleeding. Immediately following the barium study, the patient had active bleeding. Because of the significant amount of intestinal barium, angiography was deferred. Technetium-99m-red blood cell (RBC) scintigraphy was undertaken to identify the site of bleeding. Despite intestinal barium, the 99mTc-RBC scan demonstrated an active bleeding site in the small bowel in the left abdomen. Therefore, 99mTc-RBC scintigraphy can be of clinical utility for identification of gastrointestinal bleeding, despite the presence of intestinal barium.

Original languageEnglish (US)
Pages (from-to)643-645
Number of pages3
JournalJournal of Nuclear Medicine
Volume37
Issue number4-6
StatePublished - Apr 1 1996
Externally publishedYes

Keywords

  • Attenuation
  • Barium
  • Gastrointestinal tract hemorrhage
  • Technetium-99m

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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