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5.
Rev Esp Med Nucl ; 24(5): 322-5, 2005.
Artigo em Espanhol | MEDLINE | ID: mdl-16194465

RESUMO

A 26 year-old woman with tuberous sclerosis who came to the Emergency Department with high fever, bilious vomit, right hemiabdomen pain and syncope during 2 weeks. Laboratory analyses show hemoglobin 6.7 g/dl, creatinine 1.5 mg/dl and leukocytes 30,000. Abdominal CT is performed because of suspicion of active bleeding in right hemiabdomen, following rupture of right angiomyolipoma, treated by selective arterial embolization. She was referred to the Nuclear Medicine Department to perform a 67Gallium scintigraphy for the detection of infection, and static and dynamic renal scintigraphy for evaluation of the renal morphology and function.


Assuntos
Angiomiolipoma/diagnóstico por imagem , Radioisótopos de Gálio , Neoplasias Renais/diagnóstico por imagem , Renografia por Radioisótopo , Adulto , Angiomiolipoma/complicações , Feminino , Febre/etiologia , Humanos , Neoplasias Renais/complicações , Ruptura Espontânea
6.
Rev. esp. med. nucl. (Ed. impr.) ; 24(5): 322-325, sept.-oct. 2005. ilus
Artigo em Es | IBECS | ID: ibc-040925

RESUMO

Mujer de 26 años con esclerosis tuberosa, que acude a urgencias por cuadro de dos semanas de evolución de fiebre, vómitos biliosos, dolor en flanco derecho y síncope de segundos de duración. En analítica se refleja hemoglobina de 6,7 g/dl, creatinina de 1,5 mg/dl y leucocitosis (30.000/μl). Se realiza TC abdominal por sospecha de sangrado activo, llegándose al diágnostico de rotura de angiomiolipoma renal derecho, que se trata mediante embolización arterial selectiva. Se remite al servicio de Medicina Nuclear para determinar mediante Gammagrafía con 67Ga posible origen de foco infeccioso no puesto en evidencia por otras técnicas diagnósticas, así como Gammagrafía renal y Renograma isotópico para evaluar la morfología renal y el grado de funcionalidad


A 26 year-old woman with tuberous sclerosis who came to the Emergency Department with high fever, bilious vomit, right hemiabdomen pain and syncope during 2 weeks. Laboratory analyses show hemoglobin 6.7 g/dl, creatinine 1.5 mg/dl and leukocytes 30,000. Abdominal CT is performed because of suspicion of active bleeding in right hemiabdomen, following rupture of right angiomyolipoma, treated by selective arterial embolization. She was referred to the Nuclear Medicine Department to perform a 67Gallium scintigraphy for the detection of infection, and static and dynamic renal scintigraphy for evaluation of the renal morphology and function


Assuntos
Feminino , Adulto , Humanos , Angiomiolipoma , Neoplasias Renais , Ácido Dimercaptossuccínico Tecnécio Tc 99m , Ruptura Espontânea , Renografia por Radioisótopo
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