Abnormal Collateral Vessels in Behçet’s Disease Revealed by Gastrointestinal Bleeding Scintigraphy with 99m Tc-RBC 

Authors: Jingnan Wang, Yaping Luo, Xiaona Jin, Chunyuan Zhao and Fang Li* 

DOI: 10.23880/Ijnmrs-16000104

Volume 1, Issue 2

Abstract

A 36-year old male who had a history of Behçet’s disease for 9 years was found with occlusion and stenos is of multiple vessels including left subclavicular artery, aortic arch, bilateral brachiocephalic veins, superior vena cava, inferior vena cava, bilateral renal veins, iliac veins and deep veins in bilateral lower extremities. CTA showed collateral vascular circulation in mediastinum, bilateral axilla, chest wall and abdominal wall, and in the upper abdomen around the liver and inretroperitoneal region due to vascular stenos is and obstruction.5 days ago, he presented with hematochezia due to gastrointestinal (GI) bleeding. GI bleeding scintigraphy was performed with 99mTc-RBC and CTA did not detect any active GI bleeding during the study; instead, the GI bleeding scintigraphy found. Abnormal vascular pathway and tortuous linear vessel maess in the left upper quadrant of the abdomen, that was consistent with the dilated collateral vessels detected in CTA caused by Behçet’s disease.  

Keywords:

Gastrointestinal Bleeding Scintigraphy; Behçet’s Disease; Collateral Vessels 

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