99mTc-Labeled RBC Scan in a Patient with Blue Rubber Bleb Nevus Syndrome: A Case Report

Nuclear Medicine and Molecular Imaging - Tập 47 - Trang 115-118 - 2013
Soo Jin Lee1, Ho-Young Lee1, Kyuwhan Jung2, Sang Eun Kim1
1Department of Nuclear Medicine, Seoul National University Bundang Hospital, Seongnam-si, South Korea
2Department of Pediatric surgery, Seoul National University College of Medicine, Seoul, South Korea

Tóm tắt

Blue rubber bleb nevus syndrome (BRBNS) is a rare disorder characterized by cutaneous and gastrointestinal vascular malformations. We report here the case of a 13-year-old patient with BRBNS who was suffering from chronic anemia. His chief complaint was melena. Contrast-enhanced abdominal computed tomography showed multiple hemangiomas in the small bowel. 99mTc-labeled red blood cell (RBC) scan identified the bleeding sites in the small bowel. The patient underwent exploratory laparotomy with segmental resection and multiple wedge resection of the small bowel. The pathological results confirmed the multiple cavernous hemangiomas. This case confirms the critical role of the 99mTc-labeled RBC scan in localizing the bleeding sites in patients with BRBNS.

Tài liệu tham khảo

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