Hybrid SPECT-CT with 99mTc-labeled red blood cell in a case of blue rubber bleb nevus syndrome: added value over planar scintigraphy

Blue rubber bleb nevus syndrome (BRBNS) is a rare clinical entity characterized by multiple venous malformations (hemangiomas) of the skin and gastrointestinal tract. These hemangiomas usually cause episodes of occult gastrointestinal bleeding leading to iron deficiency anemia, and also carry a sign...

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Bibliographic Details
Published in:Diagnostic and interventional radiology (Ankara, Turkey) Turkey), 2013-01, Vol.19 (1), p.41-43
Main Authors: Das, Kalpa Jyoti, Sharma, Punit, Naswa, Niraj, Soundararajan, Ramya, Kumar, Rakesh, Bal, Chandrasekhar, Malhotra, Arun
Format: Article
Language:English
Subjects:
Abdomen - diagnostic imaging
Abdomen - surgery
Child
Diagnosis, Differential
Erythrocytes
Female
Follow-Up Studies
Gastrointestinal Neoplasms - diagnostic imaging
Gastrointestinal Neoplasms - surgery
Humans
Nevus, Blue - diagnostic imaging
Nevus, Blue - surgery
Radiography, Abdominal - methods
Radiopharmaceuticals
Skin Neoplasms - diagnostic imaging
Skin Neoplasms - surgery
Technetium
Tomography, Emission-Computed, Single-Photon - methods
Tomography, X-Ray Computed - methods
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Summary:Blue rubber bleb nevus syndrome (BRBNS) is a rare clinical entity characterized by multiple venous malformations (hemangiomas) of the skin and gastrointestinal tract. These hemangiomas usually cause episodes of occult gastrointestinal bleeding leading to iron deficiency anemia, and also carry a significant potential for serious hemorrhage. The 99mechnetium (99mTc)-labeled red blood cell scintigraphy has traditionally been utilized in the localization of occult bleeding sites in patients with suspected vascular malformations, angiodysplasia, and Meckel’s diverticulum. We report the incremental value of 99mTc-labeled red blood cell hybrid single-photon emission computed tomography-computed tomography (SPECT-CT) over planar scintigraphy alone in a 12-year-old female patient with BRBNS.
ISSN:1305-3825
1305-3612
DOI:10.4261/1305-3825.DIR.5811-12.2