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Published on: February 3, 2015
Scintigraphic detection of an occult bleed into a retroperitoneal mass using Tc-99m labeled red blood cells
1Department of Radiology, National Naval Medical Center, Bethesda, MD 20889-5600, USA.
A 45-year-old man with chronic lymphocytic leukemia and a retroperitoneal mass underwent Tc-99m labeled red blood cell bleeding imaging to localize a bleeding source. The bleeding scan showed a linear accumulation of radiotracer obliquely oriented along the left upper epigastrium to the right midepigastrium. This area of uptake increased in intensity and assumed a more globular appearance throughout the study, but did not change in location. This is the pattern of a retroperitoneal bleed resulting from active hemorrhage into the retroperitoneal mass.
A 45-year-old man with chronic lymphocytic leukemia and a retroperitoneal mass underwent Tc-99m labeled red blood cell bleeding imaging to localize a bleeding source. The bleeding scan showed a linear accumulation of radiotracer obliquely oriented along the left upper epigastrium to the right midepigastrium. This area of uptake increased in intensity and assumed a more globular appearance throughout the study, but did not change in location. This is the pattern of a retroperitoneal bleed resulting from active hemorrhage into the retroperitoneal mass.
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