technetium-tc-99m-sulfur-colloid and Thrombocytopenia

Topics: Female; Humans; Liver; Male; Middle Aged; Platelet Count; Predictive Value of Tests; Radionuclide Imaging; Retrospective Studies; Spleen; Splenectomy; Technetium Tc 99m Sulfur Colloid; Thrombocytopenia

Topics: Adrenal Gland Neoplasms; Aged; Humans; Male; Myelolipoma; Radionuclide Imaging; Retroperitoneal Neoplasms; Splenomegaly; Technetium Tc 99m Sulfur Colloid; Thrombocytopenia; Tomography, X-Ray Computed

Topics: Autoimmune Diseases; Humans; Male; Middle Aged; Radionuclide Imaging; Splenosis; Technetium Tc 99m Sulfur Colloid; Thrombocytopenia

Three cases of postpartum hepatic hemorrhage in the syndrome of hemolysis, elevated liver enzymes, and low platelet count (HELP) were diagnosed by Tc-99m sulfur colloid liver-spleen scanning. Two patients had follow-up scans. One showed rapid resolution of the hematoma on the repeat scan performed six days later, while the other showed delayed resolution on the repeat scan four weeks later. All patients received non-surgical supportive therapy with or without blood transfusion after delivery, and recovered well. Usefulness of radionuclide liver-spleen scanning in the diagnosis of peripartum hepatic hemorrhage and monitoring course of the disease is emphasized.

Topics: Adult; Female; Hemolysis; Hemorrhage; Humans; Liver; Liver Diseases; Pre-Eclampsia; Pregnancy; Puerperal Disorders; Radionuclide Imaging; Syndrome; Technetium Tc 99m Sulfur Colloid; Thrombocytopenia