Radioguided surgery in Meckel's diverticulum

被引：5

作者：

Ayala, S. ^{[1
]}

Andres, A. ^{[1
]}

Rambalde, E. F. ^{[1
]}

Deus, J. ^{[2
]}

Cancer, L. ^{[1
]}

Tardin, L. ^{[1
]}

Banzo, J. ^{[1
]}

Prats, E. ^{[1
]}

机构：

[1] Hosp Clin Univ Lozano Blesa, Nucl Med Serv, Zaragoza 50009, Spain

[2] Hosp Clin Univ Lozano Blesa, Serv Cirugia, Zaragoza 50009, Spain

来源：

REVISTA ESPANOLA DE MEDICINA NUCLEAR E IMAGEN MOLECULAR | 2014年 / 33卷 / 04期

关键词：

Meckel's diverticulum; Tc-99m-pertechnetate scintigraphy; Radioguided surgery; SPECT/CT; SCINTIGRAPHY;

D O I：

10.1016/j.remn.2013.12.003

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

We analyze the case of a patient with intermittent episodes of lower gastrointestinal bleeding and suspected Meckel's diverticulum, whose presence was confirmed by Tc-99m-pertechnetate scintigraphy. A previous exploratory laparotomy had been performed without finding the diverticulum. In spite of years of medical treatment, the patient presented a new episode of lower gastrointestinal bleeding with normal colonoscopy. A new Tc-99m-pertechnetate scintigraphy (including SPECT/CT) was performed and allowed the anatomical location of a Meckel's diverticulum and enabled its removal by laparoscopic radioguided surgery. The introduction of SPECT/CT in the scintigraphic diagnostic protocol in Meckel's diverticulum increases diagnostic safety and improves lesion location. Furthermore, it favors the performance of radioguided surgery and facilitates the lesion resection, particularly when the patient has suffered previous abdominal surgery, with a more conservative procedure, reducing the morbidity associated with the surgical procedure. (C) 2013 Elsevier Espana, S.L. and SEMNIM. All rights reserved.

引用

页码：231 / 233

页数：3

共 10 条

[1] In-111 DTPA octreotide scintigraphy and intraoperative gamma probe detection in the diagnosis and treatment of residual lymph node metastases of a rectal carcinoid tumor [J].

Banzo, J ;

Vidal-Sicat, S ;

Prats, E ;

Galofré, G ;

Razola, P ;

Mañé, S ;

Ubieto, MA ;

Abós, MD .

CLINICAL NUCLEAR MEDICINE, 2005, 30 (05) :308-311

[2]

Blas Ballester J, 2008, CIR ESPAN, V83, P167

[3] Utility of SPECT/CT with Meckel's scintigraphy [J].

Dillman, Jonathan R. ;

Wong, Ka Kit ;

Brown, Richard K. J. ;

Frey, Kirk A. ;

Strouse, Peter J. .

ANNALS OF NUCLEAR MEDICINE, 2009, 23 (09) :813-815

[4] Detection of ectopic gastric mucosa using 99mTc pertechnetate: review of the literature [J].

Kiratli, Pinar O. ;

Aksoy, Tamer ;

Bozkurt, Murat F. ;

Orhan, Diclehan .

ANNALS OF NUCLEAR MEDICINE, 2009, 23 (02) :97-105

[5] Diagnosis of ectopic gastric mucosa using 99Tcm-pertechnetate:: spectrum of scintigraphic findings [J].

Kumar, R ;

Tripathi, M ;

Chandrashekar, N ;

Agarwala, S ;

Kumar, A ;

Dasan, JB ;

Malhotra, A .

BRITISH JOURNAL OF RADIOLOGY, 2005, 78 (932) :714-720

[6]

Mittal BR, 2008, HELL J NUCL MED, V11, P26

[7] SPECT-CT image fusion could enhance Meckel scan [J].

Schneider, Peter ;

Dueren, Christian ;

Reiners, Christoph .

WORLD JOURNAL OF PEDIATRICS, 2010, 6 (03) :281-281

[8] Radioguided surgery of intestinal carcinoid tumor relapse. Role of SPECT-CT [J].

Serrano Vicente, J. ;

Dominguez Grande, M. L. ;

Infante De La Torre, J. R. ;

Duran Barquero, C. ;

Garcia Bernardo, L. ;

Rayo Madrid, J. I. ;

Perez Andres, I. ;

Sanchez Sanchez, R. .

REVISTA ESPANOLA DE MEDICINA NUCLEAR, 2010, 29 (04) :177-180

[9] Radiological features of Meckel's diverticulum and its complications [J].

Thurley, P. D. ;

Halliday, K. E. ;

Somers, J. M. ;

Al-Daraji, W. I. ;

Ilyas, M. ;

Broderick, N. J. .

CLINICAL RADIOLOGY, 2009, 64 (02) :109-118

[10] NEW APPLICATIONS OF RADIOGUIDED SURGERY IN ONCOLOGY [J].

Vieira Bitencourt, Almir Galvao ;

Pereira Lima, Eduardo Nobrega ;

Vieira Pinto, Paula Nicole ;

Lobato Martins, Eduardo Bruno ;

Chojniak, Rubens .

CLINICS, 2009, 64 (05) :397-402

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