Subject(s)
Abscess/diagnosis , Cecal Diseases/diagnosis , Cecal Diseases/etiology , Cecum/diagnostic imaging , Cecum/pathology , Colitis, Ischemic/complications , Aged , Cecal Diseases/surgery , Cecum/surgery , Diagnosis, Differential , Humans , Male , Necrosis/diagnosis , Necrosis/etiology , Necrosis/surgery , Tomography, X-Ray Computed , UltrasonographyABSTRACT
We report the case of a 25-year-old woman with fulminant hepatic failure (FHF). Liver scintigraphy using (99m)Tc-galactosyl human serum albumin (GSA) and (99m)Tc-phytate produced interesting findings; regenerative nodules appeared as nodules of increased accumulation of (99m)Tc-GSA, whereas these nodules were expressed as defects of accumulation of (99m)Tc-phytate. These scintigraphic findings suggested that the functions of hepatocytes in regenerative nodules were maintained, whereas those of Kupffer cells were impaired. Although (99m)Tc-GSA scintigraphy indicated hepatic functional reserve enough to survive, she died despite intensive therapy including plasma exchange. Based on this case, it is recommended that not only (99m)Tc-GSA scintigraphy but also (99m)Tc-phytate scintigraphy is required to evaluate the prognosis of patients with FHF.
