Assuntos
Abscesso/diagnóstico , Doenças do Ceco/diagnóstico , Doenças do Ceco/etiologia , Ceco/diagnóstico por imagem , Ceco/patologia , Colite Isquêmica/complicações , Idoso , Doenças do Ceco/cirurgia , Ceco/cirurgia , Diagnóstico Diferencial , Humanos , Masculino , Necrose/diagnóstico , Necrose/etiologia , Necrose/cirurgia , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
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.
