The persistently absent bowel loop: A sign of mass effect on the bowel detected by cholescintigraphy

Melissa J. Lee, Lionel S. Zuckier, Benjamin Zalta, Eugene Fine

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

A 28-year-old man was brought to the emergency department with a gunshot wound to the abdomen. Immediate exploratory laparotomy showed perforation of the jejunum and an adjacent, nonexpanding mesenteric hematoma. The jejunum was partly resected, but the hematoma was not evacuated. After operation, serum levels of alkaline phosphatase and bilirubin were elevated, and the patient vomited bilious fluid. Cholescintigraphy performed to exclude biliary obstruction or leakage showed persistent nonvisualization of the third and fourth portions of the duodenum. Combined with retrograde shunting of radiotracer into a relatively dilated stomach, partial obstruction of the duodenum can be diagnosed based on the current examination. Correlation with a computed tomographic scan indicated a mesenteric hematoma as the anatomic cause of this finding.

Original languageEnglish (US)
Pages (from-to)939-940
Number of pages2
JournalClinical nuclear medicine
Volume26
Issue number11
DOIs
StatePublished - Nov 12 2001

Keywords

  • Biliary scintigraphy
  • Bowel obstruction
  • Duodenum

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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