- 期刊
Post Endoscopic Retrograde Cholangiopancreatography Bleeding Documented by (superscript 99m)Tc-Red Blood Cell Blood Pool Imaging
鎝－99m標幟紅血球血池造影顯現內視鏡逆行性膽管胰臟攝影術後併發腸胃出血
摘要
內視鏡逆行性膽管胰臟攝影是一種被廣為接受，用以診斷及治療膽道及胰臟疾病的方式。然而此一過程仍然可能帶來一些併發症包括：急性胰臟炎、穿孔、甚至吸入性肺炎，但併發急性腸胃出血則屬罕見。我們報告一位接受逆行性膽管胰臟攝影後，除併發急性胰臟炎外，還發現有腸胃道大量出血的病例，其腸胃道出血經由鎝－99m紅血球血池造影呈現出。
並列摘要
Endoscopic retrograde cholangiopancreatography (ERCP) is a well-accepted diagnostic and therapeutic procedure for patients with hepatobiliary and pancreatic diseases. The procedure carries significant morbidity including acute pancreatitis, perforation, and even aspiration pneumonia. Bleeding complication, however, is rare. We present the case of a patient, who in addition to acute pancreatitis suffered from massive post ERCP gastrointestinal (G-I) bleeding, which was demonstrated by (superscript 99m)Tc-red blood cell (RBC) blood pool imaging study.
延伸閱讀
- Yew, D. S. Y., Lin, K. H., Shih, B. F., Wu, M. Z., Tsao, C. H., & Chen, H. W. (2022). 用Tc-99m Mebrofenin肝膽閃爍造影診斷繼發於肝細胞癌治療的支氣管膽道廔管：病例報告和文獻回顧. 核子醫學暨分子影像雜誌, 35(2), 66-71. https://doi.org/10.6332/ANMMI.202206_35(2).0003
- Wu, M. T., Lin, W. Y., & Tsai, S. C. (2015). 鎝-99m標幟紅血球腸胃道出血造影意外發現腹主動脈瘤. 核子醫學暨分子影像雜誌, 28(2), 95-98. https://doi.org/10.6332/ANMMI.2802.007
- Lee, J. J., Lai, K. H., & Pan, H. B. (1995). 內視鏡逆行性膽胰管攝影術及俄迪氏括約肌測壓檢查合併皮下，後腹腔，及縱膈腔氣腫. 中華民國消化系醫學會雜誌, 12(4), 329-333. https://doi.org/10.6557/GJTa.199512_12(4).0006
- Hsu, J. T., Fu, C. Y., Chen, H. M., Hung, C. F., Hwang, T. L., Jan, Y. Y., & Chen, M. F. (2006). 以動脈栓塞治療因內視鏡逆行性膽道胰管攝影併發胰臟炎所造成的偽動脈瘤出血：病例報告. Formosan Journal of Surgery, 39(2), 84-88. https://doi.org/10.29833/FJS.200604.0005
- Yeh, Y. H., Huang, Y. F., Wang, T. S., Lee, C. H., & Hsieh, H. L. (2000). 經內視鏡逆行性胰臟導管放置術治療胰臟瘻管合併胰液外漏：病例報告. 秀傳醫學雜誌, 2(2), 75-79. https://www.airitilibrary.com/Article/Detail?DocID=15610497-200004-2-2-75-79-a