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British Journal of Radiology (1995) 68, 1126-1127
© 1995 British Institute of Radiology
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The British Journal of Radiology, Vol 68, Issue 814 1126-1127, Copyright © 1995 by British Institute of Radiology

ARTICLES

Case report: chronic mesenteric ischaemia as a cause of abnormal bowel uptake of labelled leucocytes

G Ingram, A Reeder, NP Tait and AR Tanner
Department of Medical Physics, North Tees General Hospital, Stockton on Tees, Cleveland, UK.

Chronic mesenteric ischaemia is often difficult to diagnose. A high level of clinical suspicion is needed and further investigation requires invasive procedures. We present a case where weight loss and abdominal pain were dominant features and initial interpretation of a labelled leucocyte scan suggested inflammatory bowel disease. Subsequent investigations excluded this possibility and chronic ischaemia was confirmed at autopsy. Positive small bowel images using 99Tcm-HMPAO labelled leucocytes may indicate chronic ischaemia.




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