Document Type : Case report
Authors
1
Department of Nuclear medicine & Molecular Imaging, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
2
Deptt. of Nuclear Medicine, PET CT/MR and Radionuclide Therapy, Amrita Institute of Medical Sciences and Research University Hospital, Cochin, Kerala, India
3
Department of Nuclear Medicine & Molecular Imaging, Amrita Institute of Medical Science, 682024 Kochi, Kerala, India.
4
Dept of Nuclear Medicine & Molecular Imaging, Amrita Institute of Medical Sciences, Cochin, Kerala, India
10.22038/aojnmb.2024.76465.1538
Abstract
Perforation of the bowel can be a life-threatening condition and is usually clinically diagnosed when a patient presents with features like severe abdominal pain, tenderness and tachycardia & may be corroborated by various conventional imaging modalities like X-ray, USG, Computed Tomography and Magnetic Resonance Imaging. Nuclear medicine imaging modalities seldom have a role to play in these settings. Rarely diagnosis of perforation may be missed if it is concealed and does not present with the usual signs, Mostly the perforation will eventually be diagnosed if they develop signs and symptoms and is taken up for an exploratory laparotomy. However, delay in diagnosis can later lead to significant patient morbidity or even mortality. This report describes one such case where possible intestinal perforation was suspected on a 99mTc-DTPA renogram, in a postoperative patient with significant urine leak, the presence of which was confirmed intraoperatively, which to our knowledge is the first such case in the literature.
Keywords
Main Subjects
)