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World J Nucl Med. 2019 Jul-Sep;18(3):310-313. doi: 10.4103/wjnm.WJNM_13_19.

Unusual presentation of jejunal hemangioma on Tc-99m pertechnetate scan with single-photon emission computerized tomography-computed tomography.

Author information

1
Department of Nuclear Medicine, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
2
Department of Pediatric Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
3
Department of Pediatrics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

Abstract

Small bowel hemangioma is a rare benign tumor in the pediatric population. The usual presentation of these tumors is melena, anemia, or hematochezia. Our case demonstrates the usefulness of Meckel's/Tc-99m pertechnetate scan with single-photon emission computerized tomography/computerized tomography in diagnosing a vascular lesion in the small bowel in a child presenting with melena, unresponsive to medical management. We present a case of incidentally detected jejunal hemangioma during Tc-99m pertechnetate scintigraphy which would help the nuclear medicine physician and surgeon, to be cognizant of this atypical presentation in their clinical practice.

KEYWORDS:

Hemangioma; Meckel's scan; Tc-99m pertechnetate; jejunum; laparotomy; small bowel

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