Incidental Detection of Ectopic Ovary Varices by 99m Tc-Red Blood Cell Bleeding Scintigraphy in a Patient With Cirrhosis.
Journal
Clinical nuclear medicine
ISSN: 1536-0229
Titre abrégé: Clin Nucl Med
Pays: United States
ID NLM: 7611109
Informations de publication
Date de publication:
01 Aug 2023
01 Aug 2023
Historique:
medline:
3
7
2023
pubmed:
31
5
2023
entrez:
31
5
2023
Statut:
ppublish
Résumé
A 72-year-old woman with cirrhosis underwent a 99m Tc-labeled red blood cell (RBC) bleeding scan because of recurrent gastrointestinal bleeding. The images showed abnormal 99m Tc-RBC accumulation in a mass in the region of the left ovary. Contrast-enhanced CT showed expansion of left ovary vein from the left renal vein, which twisted into an enhanced round mass in the left ovary area. Finally, a diagnosis of ectopic ovary varices was made, which is secondary to cirrhosis with portal hypertension. Ovary varices should be included as differential diagnoses of 99m Tc-RBC bleeding scintigraphy.
Identifiants
pubmed: 37256735
doi: 10.1097/RLU.0000000000004715
pii: 00003072-202308000-00028
doi:
Substances chimiques
Technetium
7440-26-8
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
746-749Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of interest and sources of funding: J.Y. was supported by National Natural Science Foundation of China (no. 82272034) and Capital's Funds for Health Improvement and Research (no. 2020-2-2025). The other authors have no conflicts to report.
Références
Helmy A, Al Kahtani K, Al Fadda M. Updates in the pathogenesis, diagnosis and management of ectopic varices. Hepatol Int . 2008;2:322–334.
Qian Y, Jiang T, Liu S. Diagnosis of left ovarian varices using multi-detector computed tomography angiography. Eur J Obstet Gynecol Reprod Biol . 2010;153:224–225.
Struyve M, Robaeys G. Ectopic variceal bleeding due to portosystemic shunt via dilated mesenteric veins and a varicous left ovarian vein: case report and literature review of ectopic varices. Acta Gastroenterol Belg . 2017;80:388–395.
Ponzo F, Zhuang H, Liu FM, et al. Tc-99m sulfur colloid and Tc-99m tagged red blood cell methods are comparable for detecting lower gastrointestinal bleeding in clinical practice. Clin Nucl Med . 2002;27:405–409.
Winzelberg GG, McKusick KA, Strauss HW, et al. Evaluation of gastrointestinal bleeding by red blood cells labeled in vivo with technetium-99m. J Nucl Med . 1979;20:1080–1086.
Champagne C, Powe JE. Incidental detection of ruptured spleen during Tc-99m RBC gastrointestinal bleeding study. Clin Nucl Med . 1992;17:404–405.
Fink-Bennett D, Johnson JR. Gluteal hematoma. A potential cause for a false-positive Tc-99m RBC gastrointestinal bleeding study. Clin Nucl Med . 1984;9:414.
Duarte PS, Zhuang H, Aldighieri F, et al. Incidental detection of an abdominal aortic aneurysm during evaluation of gastrointestinal bleeding with Tc-99m–tagged erythrocytes. Clin Nucl Med . 2002;27:824.
Bunko H, Seto H, Tonami N, et al. Detection of active bleeding from ruptured aortic aneurysm by emergency radionuclide angiography. Clin Nucl Med . 1978;3:276–277.
Hansen ME, Coleman RE. Scintigraphic demonstration of gastrointestinal bleeding due to mesenteric varices. Clin Nucl Med . 1990;15:488–490.
Chen PN, Brown RK. False positive GI bleed on Tc-99m RBC scintigraphy due to ileal varices. J Radiol Case Rep . 2012;6:23–28.
Bykov S, Becker A, Koltun L, et al. Massive bleeding from jejunal varices in a patient with thalassemia major detected by TC-99m red blood cell scintigraphy. Clin Nucl Med . 2005;30:457–459.
Kim MH, Park SA, Kim DW. Perigastric varices detected in a gastrointestinal bleeding study with 99m Tc-labeled red blood cells SPECT/CT. Rev Esp Med Nucl Imagen Mol (Engl Ed) . 2019;38:186–187.
Gandhi SJ. Umbilical varices: a potential pitfall in gastrointestinal bleed scintigraphy interpretation. Indian J Nucl Med . 2018;33:245–247.
Wang P, Jing H, Li F, et al. 99m Tc-labeled native RBC scintigraphy in distinguishing polysplenia from abdominal masses in a patient with situs inversus totalis. Clin Nucl Med . 2019;44:998–1000.
Donald JS, Chen DL, Peterson J, et al. False-positive heat-damaged RBC scan for splenosis: case of retroperitoneal extramedullary hematopoiesis. Clin Nucl Med . 2018;43:139–140.
Wang L, Jing H, Chen L, et al. Gallbladder activity on 99m Tc-labeled red cell scintigraphy confirmed by SPECT/CT imaging. Clin Nucl Med . 2016;41:734–736.
Murrey DA Jr., Hall NC, Wright CL, et al. Precise localization of occult gastrointestinal hemorrhage using dynamic SPECT/CT. Clin Nucl Med . 2016;41:46–49.
Yang X, Wang W, Kan Y, et al. Incidental detection of pancreatic arteriovenous malformation by 99m Tc-RBC SPECT/CT. Clin Nucl Med . 2020;45:1026–1028.