Egested Feces Revealed Massive Protein Loss in 99mTc-HSA-D Scintigraphy

Clin Nucl Med. 2020 Jul;45(7):e329-e330. doi: 10.1097/RLU.0000000000003080.

Abstract

A 66-year-old man with severe diarrhea and severe hypoproteinemia was referred for Tc-DTPA-human serum albumin (HSA-D) scintigraphy. The scintigraphy at 24 hours postinjection showed strong accumulation of Tc-HSA-D in not only the colon but also all his diapers containing his egested feces. The ratio of the diapers counts to the total counts was 17.0%, and a considerable amount of protein loss was confirmed. Tc-HSA-D scintigraphy has an important role in diagnosing protein-losing enteropathy, but the abdomen is the only routinely scanned area. Additional scanning of egested radiotracer and the whole body can be useful for evaluating the disease severity.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Feces / chemistry*
  • Humans
  • Male
  • Protein-Losing Enteropathies / diagnostic imaging*
  • Radionuclide Imaging
  • Technetium Tc 99m Aggregated Albumin*

Substances

  • Technetium Tc 99m Aggregated Albumin