Scintigraphic Demonstration of Gastrointestinal Bleeding Due to Mesenteric Varices

Me, Hansen; Re, Coleman

doi:10.1097/00003072-199007000-00007

Cited by 11 publications

(2 citation statements)

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“…In addition, the literature reports a number of case reports demonstrating aortoduodenal fistula rupture (88), hemangiomas in the liver or small bowel (89,90), and abdominal varices (92,94). Varices are most commonly seen as static blood pool structures, but they can also rupture and cause bleeding (91,93,95). The literature also contains a report of visualization of an abnormal ovarian vein (96).…”

Section: Increased Rbc Activity Due To Other Causesmentioning

confidence: 99%

The SNMMI Procedure Standard/EANM Practice Guideline for Gastrointestinal Bleeding Scintigraphy 2.0

Dam

Brandon

Grantham

et al. 2014

Journal of Nuclear Medicine Technology

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Section: Increased Rbc Activity Due To Other Causesmentioning

confidence: 99%

The SNMMI Procedure Standard/EANM Practice Guideline for Gastrointestinal Bleeding Scintigraphy 2.0

Dam

Brandon

Grantham

et al. 2014

Journal of Nuclear Medicine Technology

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“…99m Tc-RBC bleeding scan plays an important role in detecting sites of active gastrointestinal bleeding 4,5 . However, incidental detection has been reported previously during 99m Tc-RBC scintigraphy, including ruptured spleen, 6 abdominal/gluteal hematomas, 7 aortic aneurysms, 8,9 mesenteric varices, 10 ileal varices, 11,12 perigastric varices, 13 and umbilical varices 14 . SPECT/CT can improve the accuracy of 99m Tc-RBC scan 15–19 .…”

mentioning

confidence: 99%

Incidental Detection of Ectopic Ovary Varices by 99mTc–Red Blood Cell Bleeding Scintigraphy in a Patient With Cirrhosis

Feng

Wang

et al. 2023

Clin Nucl Med

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A 72-year-old woman with cirrhosis underwent a 99mTc-labeled red blood cell (RBC) bleeding scan because of recurrent gastrointestinal bleeding. The images showed abnormal 99mTc-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 99mTc-RBC bleeding scintigraphy.

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Les aspects endoscopiques de l’hypertension portale: diagnostic et classification

et al. 2000

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Endoscopic diagnosis and classification of varices of the gastro-intestinal tract RI~SUMI~Quand s'instaure un Otat d'hypertension portale, des circulations collatOrales entre le syst~me porte et le systOme cave se forment ou s'ouvrent.Du point de vue clinique, les plus importantes sont celles qui impliquent le secteur gastro-intestinal, parce qu'elles peuvent provoquer la dilatation du plexus sous-muqueux avec formation de varices endoluminales.Les varices peuvent se trouver sur tousles secteurs du tractus gastro-intestinal (~esophage, estomac, duod6num, il6on, c61on, rectum), mais les varices gastro-oesophagiennes s'observent plus fr6quemment et en cas de rupture, elles peuvent provoquer de graves h6morragies. L'h6morragie de varices oesophagiennes repr6sente encore aujourd'hui une des plus graves complications de la cirrhose h6patique et un d6fi toujours renouvel6 pour l'endoscopiste.Malgr6 l'introduction de nouveaux moyens diagnostiques et de nouvelles th6rapies, la mortalit6 au premier 6pisode de saignement reste encore tr~s 61ev6e (30 %-40 %).Ceci est 1i6 non seulement h l'entit6 de l'h6morragie et ~ la vitesse de son contr61e mais 6galement au stade d'insuffisance h6patique et h l'apparition de complications cardio-pulmonaires, r6nales, infectieuses et surtout h6morragiques.L'examen endoscopique, s'il est conduit de mani6re correcte, repr6sente la meilleure technique pour le diagnostic, la classification et la th6rapie aussi bien en premi6re intention qu'en urgence. SUMMARY During portal hypertension occurs the formation and~or opening of collateral circulations between the portal and caval systems. One of the most significant clinical consequences is the formation of endoluminal varices at the intestinal level There is also congestion of the mucosa, termed portal congestive gastropathy or portal congestive colonopathy, depending on the area affected.Varices could be present in the entire gastro-intestinal tract (esophagus, stomach, duodenum, ileum, colon, rectum). However the most frequently observed are the esophageal varices and in case of rupture they cause severe haemorrhage. Bleeding from esophageal varices is one of the most important complications of liver cirrhosis and represents a critical moment for the endoscopist. Although the use of modern diagnostic and therapeutic technique, mortality during the first episode of bleeding still remains very high (30-40%).This is related not only to the entity of the haemorrhagic fact and the endoscopic ability to control it, but also to the degree of the liver disease, cardiopulmonary, kidney, infective and haemorrhagic complications.Endoscopic examination, if correctly performed, represents the best technique for the diagnosis, the classification and the therapeutic approach both in election and emergency.

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Scintigraphic Demonstration of Gastrointestinal Bleeding Due to Mesenteric Varices

Cited by 11 publications

References 0 publications

The SNMMI Procedure Standard/EANM Practice Guideline for Gastrointestinal Bleeding Scintigraphy 2.0

The SNMMI Procedure Standard/EANM Practice Guideline for Gastrointestinal Bleeding Scintigraphy 2.0

Incidental Detection of Ectopic Ovary Varices by 99mTc–Red Blood Cell Bleeding Scintigraphy in a Patient With Cirrhosis

Les aspects endoscopiques de l’hypertension portale: diagnostic et classification

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