Indian Journal of Nuclear Medicine
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Year : 2016  |  Volume : 31  |  Issue : 1  |  Page : 72-73

Splenic infarction as a pitfall on labeled red blood cell imaging

1 Department of Nuclear Medicine, Trakya University Medical Faculty, 22030 Edirne, Turkey
2 Department of Radiology, Trakya University Medical Faculty, 22030 Edirne, Turkey

Correspondence Address:
Gul Ege Aktas
Department of Nuclear Medicine, Trakya University Medical Faculty, 22030 Edirne
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-3919.172370

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Patient with a history of overt gastrointestinal bleeding, diabetes mellitus, hypertension, polycythemia vera, and choledocojejunostomy was hospitalized because of hematemesis and melena. An area of Technetium-99m labeled red blood cells accumulation at the splenic flexure similar to an overt bleeding area, was observed on gastrointestinal bleeding scintigraphy (GIBS). In case of underlying malignancy, abdominal computed tomography was performed and demonstrated the infarction area placed laterally in spleen, appearing as a cold region on sctintigraphic image, separating the inferomedial and upper part of splenic uptake. Splenic variants and pathologies can complicate interpretation of GIBS.

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