Detection of a traumatic renal aterial venous fistula by radionuclide angiography (RNA)
Journal Article
·
· J. Trauma; (United States)
OSTI ID:5573385
A case of post-traumatic A-V fistula was detected by radionuclide angiography. A 40-yr-old male, with a stab wound in left upper quadrant of abdomen, had undergone exploratory laparotomy that disclosed lacerations of the stomach and proximal portions of small bowel and superior mesenteric artery. The patient continued to have quaiac-positive stools postoperatively. One week later a radionuclide sequential image of the abdomen using 8 mCi of Tc-99m sulfur colloid revealed an area of increased radionuclide concentration in the left midabdomen seen only during aterial phase and not visible on the subsequent static images. The findings were confirmed to be A-V fistula by angiogram and subsequently by renal surgery. The patient had an uneventful elective closure of the fistula. The cause of quaiac-positive stool was unexplained. Eight cases of renal A-V fistula have been well demonstrated by radionuclide angiography in the literature. The authors emphasized the radionuclide angiography is a suitable screening procedure for patients with suspected traumatic vascular injury, and contrast angiography should be used for the confirmation of diagnosis.
- Research Organization:
- Univ. Medical Center, Boston, MA
- OSTI ID:
- 5573385
- Journal Information:
- J. Trauma; (United States), Journal Name: J. Trauma; (United States) Vol. 21; ISSN JOTRA
- Country of Publication:
- United States
- Language:
- English
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550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BIOMEDICAL RADIOGRAPHY
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
COUNTING TECHNIQUES
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
HOURS LIVING RADIOISOTOPES
INJURIES
INTERMEDIATE MASS NUCLEI
ISOMERIC NUCLEI
ISOMERIC TRANSITION ISOTOPES
ISOTOPES
KIDNEYS
MEDICINE
NUCLEAR MEDICINE
NUCLEI
ODD-EVEN NUCLEI
ORGANS
RADIOISOTOPE SCANNING
RADIOISOTOPES
RADIOLOGY
SCINTISCANNING
TECHNETIUM 99
TECHNETIUM ISOTOPES
YEARS LIVING RADIOISOTOPES
62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BIOMEDICAL RADIOGRAPHY
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
COUNTING TECHNIQUES
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
HOURS LIVING RADIOISOTOPES
INJURIES
INTERMEDIATE MASS NUCLEI
ISOMERIC NUCLEI
ISOMERIC TRANSITION ISOTOPES
ISOTOPES
KIDNEYS
MEDICINE
NUCLEAR MEDICINE
NUCLEI
ODD-EVEN NUCLEI
ORGANS
RADIOISOTOPE SCANNING
RADIOISOTOPES
RADIOLOGY
SCINTISCANNING
TECHNETIUM 99
TECHNETIUM ISOTOPES
YEARS LIVING RADIOISOTOPES