RESUMO
Technetium-99m phosphate compounds are useful for bone scintigraphy. Furthermore they occasionally demonstrated acute myocardial infarction and myocarditis as positive lesions. Also accumulations in the extraskeletal muscle have been reported using these compounds. This case was a 47-year-old male and had localized rhabdomyolysis, caused by compartment syndrome. We report the usefulness of technetium-99m methylene diphosphonate to diagnose the location of rhabdomyolysis.
Assuntos
Síndromes Compartimentais/diagnóstico por imagem , Rabdomiólise/diagnóstico por imagem , Medronato de Tecnécio Tc 99m , Humanos , Masculino , Pessoa de Meia-Idade , Cintilografia , Rabdomiólise/etiologiaRESUMO
A 35-year-old woman had underwent an amputation of the right hemimandibula for an osteosarcoma. Twenty months after the operation, she was admitted to our hospital with complaints of syncope. On chest computed tomography and echocardiography, an atrial tumor was disclosed, which extended from the lesion of the left pulmonary lower lobe. This tumor intravascularly developed through the left inferior pulmonary vein. The intracardiac tumor was resected through left atriotomy under cardiopulmonary bypass, and immediately after weaning of bypass left lower lobe was resected. On pathological study the tumor was diagnosed as metastasis of osteosarcoma. Despite postoperative chemotherapy including CDDP, she died of metastasis in pulmonary, adrenal gland and liver 12 months after the second operation.