La scintigrafia con TC-99m-pertecnetato nella diagnostica della patologia endoaddominale

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COD: 2000_02_257-264 Categorie: ,

L. Dell’ Erba, R. Chimienti, G. Calò, Gabbrieli, A. Piano, B. Scarano

Ann. Ital. Chir., LXXI, 2, 2000

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Objective: To show the possible role of abdominal scintigraphy in the diagnosis of intra-abdominal pathology and its accuracy in detecting ectopic gastric mucosa in pts with intestinal bleeding and/or abdominal pain.
Method: 99m-Tc-pertechnetate scintigraphy was performed on 54 pts with a history of intestinal bleeding and/or abdominal pain with the following results: 11 true positive pts (9 with Meckel’s D; 2 with enteric duplication) all of whom were confirmed at surgery; 14 false positive pts in whom the presence and location of entero-colic (12 pts), renal (2 pts), and uterine (1 pt) pathology were determined; 28 true negative pts; an arca of persistent low activity was found in the bladder of 1 pt which later proved to be a ureterocele at ultrasound; 1 false negative pt who was found to have Meckel’s D at surgery.

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