Successful Localization of the Source of Hemorrhage in Patient with Post-Whipple Surgery by 99mTc-Labelled Red Blood Cell Scintigraphy

Joint Authors

Fathala, Ahmed L.
Alduraibi, Alaa
Abouzied, Moheieldin M.

Source

Case Reports in Radiology

Issue

Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2018-08-14

Country of Publication

Egypt

No. of Pages

4

Main Subjects

Diseases

Abstract EN

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.

American Psychological Association (APA)

Fathala, Ahmed L.& Alduraibi, Alaa& Abouzied, Moheieldin M.. 2018. Successful Localization of the Source of Hemorrhage in Patient with Post-Whipple Surgery by 99mTc-Labelled Red Blood Cell Scintigraphy. Case Reports in Radiology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1149580

Modern Language Association (MLA)

Fathala, Ahmed L.…[et al.]. Successful Localization of the Source of Hemorrhage in Patient with Post-Whipple Surgery by 99mTc-Labelled Red Blood Cell Scintigraphy. Case Reports in Radiology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1149580

American Medical Association (AMA)

Fathala, Ahmed L.& Alduraibi, Alaa& Abouzied, Moheieldin M.. Successful Localization of the Source of Hemorrhage in Patient with Post-Whipple Surgery by 99mTc-Labelled Red Blood Cell Scintigraphy. Case Reports in Radiology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1149580

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1149580