sodium-pertechnetate-tc-99m and Abdominal-Injuries

Thoracic splenosis of the left lung and upper abdominal area was described. Left minithoracotomy was performed due to unclear results from a fine needle biopsy and following the suggestion to obtain a tissue sample. Clinical findings were similar to neoplasmatic disease; intraoperative extension of the disease was larger than CT view and correlated with postoperative assessment with (99m)Tc sulphur colloid. This confirmed the usefulness of scintigraphic assessment in preoperative diagnosis in order to avoid thoracotomy in such cases.

Topics: Abdominal Injuries; Adult; Biopsy, Needle; Humans; Male; Sodium Pertechnetate Tc 99m; Splenosis; Thoracic Cavity; Tomography, Emission-Computed, Single-Photon

An 18-year-old man underwent surgery for blunt abdominal trauma requiring a total splenectomy. Heterotopic splenic autotransplantation was done in the omentum. Immediate platelets counts, cell morphology, and serum immunoglobulin levels were suggestive of impaired splenic function. Radiolabeled denatured RBC splenic imaging showed evidence of functioning autotransplanted splenic tissue in the omentum. The blood parameters were found to be normal 4 weeks after transplant. Radionuclide denatured RBC imaging has been found to be useful in the localization of functional autotransplanted splenic tissue.

Topics: Abdominal Injuries; Adolescent; Erythrocytes; Humans; Isotope Labeling; Male; Omentum; Radionuclide Imaging; Sodium Pertechnetate Tc 99m; Spleen; Splenectomy; Transplantation, Autologous; Transplantation, Heterotopic; Wounds, Nonpenetrating