Colon Necrosis Demonstrated on 99mTc-Pyrophosphate Scintigraphy

鎵鎵結腸壞死在鎝-99m-pyrophosphate閃爍攝影上之表現

10.6332/ANMS.1404.018

洪光威(Gang-Uei Hung)；趙德馨(Te-Hsin Chao)；張家華(Chia-Hua Chang)；林虔睦(Chyan-Muh Lin)；林佳輝(Jia-Huei Lin)；林萬鈺(Wan-Yu Lin)；王世禎(Shyh-Jen Wang)

結腸壞死 ； 直腸癌 ； 鎝-99m-pyrophosphate ； colon necrosis ； rectal cancer ； 99mTcpyrophosphate

核子醫學雜誌

14卷4期（2001 / 12 / 01）

257 - 260

英文

一位五十九歲的女性病人，因直腸為接受了結腸下前方切除以及結腸造口。在術後兩天，懷疑結腸有缺血性變化，故病人接受了鎝-99m-pyrophosphate閃爍攝影。掃描發現左下腹有放射活性增加的現像，在結腸壞死的診斷下，病人緊急接受腹部探查手術。手術證實為降結腸壞死，並採取了左半結腸的切除。

A 59-year-old female with rectal cancer underwent low anterior resection with colostomy. Two days after operation, ischemic change of colon was suspected. 99mTcpyrophosphate scintigraphy demonstrated an area of increased radioactivity at the left lower abdomen and colon necrosis was diagnosed. At operation, left hemicolectomy was performed and confirmed the diagnosis of necrosis of descending colon.