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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Wiley
2018-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2018/1381203 |
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| author | Ahmed Fathala Alaa Alduraibi Moheieldin M. Abouzied |
| author_facet | Ahmed Fathala Alaa Alduraibi Moheieldin M. Abouzied |
| author_sort | Ahmed Fathala |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-7d466b7b02f04518aefd9eea713912f7 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-7d466b7b02f04518aefd9eea713912f72025-02-03T01:23:39ZengWileyCase Reports in Radiology2090-68622090-68702018-01-01201810.1155/2018/13812031381203Successful Localization of the Source of Hemorrhage in Patient with Post-Whipple Surgery by 99mTc-Labelled Red Blood Cell ScintigraphyAhmed Fathala0Alaa Alduraibi1Moheieldin M. Abouzied2Department of Radiology, Division Nuclear Medicine Division & Cardiothoracic Radiology Division, King Faisal Specialist Hospital & Research Centre, P.O. Box 3354, MBC 28, Riyadh 11211, Saudi ArabiaDepartment of Radiology, Division Nuclear Medicine Division & Cardiothoracic Radiology Division, King Faisal Specialist Hospital & Research Centre, P.O. Box 3354, MBC 28, Riyadh 11211, Saudi ArabiaDepartment of Radiology, Division Nuclear Medicine Division & Cardiothoracic Radiology Division, King Faisal Specialist Hospital & Research Centre, P.O. Box 3354, MBC 28, Riyadh 11211, Saudi ArabiaGastrointestinal 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.http://dx.doi.org/10.1155/2018/1381203 |
| spellingShingle | Ahmed Fathala Alaa Alduraibi Moheieldin M. Abouzied Successful Localization of the Source of Hemorrhage in Patient with Post-Whipple Surgery by 99mTc-Labelled Red Blood Cell Scintigraphy Case Reports in Radiology |
| title | Successful Localization of the Source of Hemorrhage in Patient with Post-Whipple Surgery by 99mTc-Labelled Red Blood Cell Scintigraphy |
| title_full | Successful Localization of the Source of Hemorrhage in Patient with Post-Whipple Surgery by 99mTc-Labelled Red Blood Cell Scintigraphy |
| title_fullStr | Successful Localization of the Source of Hemorrhage in Patient with Post-Whipple Surgery by 99mTc-Labelled Red Blood Cell Scintigraphy |
| title_full_unstemmed | Successful Localization of the Source of Hemorrhage in Patient with Post-Whipple Surgery by 99mTc-Labelled Red Blood Cell Scintigraphy |
| title_short | Successful Localization of the Source of Hemorrhage in Patient with Post-Whipple Surgery by 99mTc-Labelled Red Blood Cell Scintigraphy |
| title_sort | successful localization of the source of hemorrhage in patient with post whipple surgery by 99mtc labelled red blood cell scintigraphy |
| url | http://dx.doi.org/10.1155/2018/1381203 |
| work_keys_str_mv | AT ahmedfathala successfullocalizationofthesourceofhemorrhageinpatientwithpostwhipplesurgeryby99mtclabelledredbloodcellscintigraphy AT alaaalduraibi successfullocalizationofthesourceofhemorrhageinpatientwithpostwhipplesurgeryby99mtclabelledredbloodcellscintigraphy AT moheieldinmabouzied successfullocalizationofthesourceofhemorrhageinpatientwithpostwhipplesurgeryby99mtclabelledredbloodcellscintigraphy |