RESUMO
The use of combined hepatobiliary-lung imaging in the diagnosis and evaluation of a subphrenic process is described.
Assuntos
Colecistite/diagnóstico por imagem , Infecções por Klebsiella/diagnóstico por imagem , Abscesso Subfrênico/diagnóstico por imagem , Idoso , Sistema Biliar/diagnóstico por imagem , Colecistite/complicações , Feminino , Humanos , Iminoácidos , Fígado/diagnóstico por imagem , Pulmão/diagnóstico por imagem , Cintilografia , Abscesso Subfrênico/complicações , Tecnécio , Agregado de Albumina Marcado com Tecnécio Tc 99m , Disofenina Tecnécio Tc 99mRESUMO
Bilateral, characteristically distributed fractures of the scapula occur from low-voltage electrical injury due to tetanic muscle contraction involving the upper extremities and shoulder girdles. We present the case of a 43-year-old man who sustained bilateral scapular fractures after exposure to a 440-volt, 60 cycle-per-second current passing briefly through his upper extremities. Conservative management, consisting of shoulder immobilization, analgesia, and progressively physical therapy, led to healing of the fractures over six weeks with essentially normal shoulder function after a follow-up period of six months. The absence of an associated fall or other direct trauma should not dissuade the physician from the diagnosis of scapular fractures in electrical injury.
