Egested Feces Revealed Massive Protein Loss in 99mTc-HSA-D Scintigraphy

Yoji Matsusaka; Tadaki Nakahara; Yu Iwabuchi; Yoshiki Owaki; Hidetoshi Narimatsu; Masahiro Jinzaki

doi:10.1097/RLU.0000000000003080

Egested Feces Revealed Massive Protein Loss in ^99mTc-HSA-D Scintigraphy

Yoji Matsusaka, Tadaki Nakahara, Yu Iwabuchi, Yoshiki Owaki, Hidetoshi Narimatsu, Masahiro Jinzaki

Department of Radiology (Diagnostic Radiology)

Research output: Contribution to journal › Article › peer-review

Abstract

A 66-year-old man with severe diarrhea and severe hypoproteinemia was referred for ^99mTc-DTPA-human serum albumin (HSA-D) scintigraphy. The scintigraphy at 24 hours postinjection showed strong accumulation of ^99mTc-HSA-D in not only the colon but also all his diapers containing his egested feces. The ratio of the diapers counts to the total counts was 17.0%, and a considerable amount of protein loss was confirmed. ^99mTc-HSA-D scintigraphy has an important role in diagnosing protein-losing enteropathy, but the abdomen is the only routinely scanned area. Additional scanning of egested radiotracer and the whole body can be useful for evaluating the disease severity.

Original language	English
Pages (from-to)	e329-e330
Journal	Clinical nuclear medicine
Volume	45
Issue number	7
DOIs	https://doi.org/10.1097/RLU.0000000000003080
Publication status	Published - 2020 Jul 1

Keywords

Tc-human serum albumin-D scintigraphy
diaper
egested feces
protein-losing enteropathy

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1097/RLU.0000000000003080

Cite this

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title = "Egested Feces Revealed Massive Protein Loss in 99mTc-HSA-D Scintigraphy",

abstract = "A 66-year-old man with severe diarrhea and severe hypoproteinemia was referred for 99mTc-DTPA-human serum albumin (HSA-D) scintigraphy. The scintigraphy at 24 hours postinjection showed strong accumulation of 99mTc-HSA-D in not only the colon but also all his diapers containing his egested feces. The ratio of the diapers counts to the total counts was 17.0%, and a considerable amount of protein loss was confirmed. 99mTc-HSA-D scintigraphy has an important role in diagnosing protein-losing enteropathy, but the abdomen is the only routinely scanned area. Additional scanning of egested radiotracer and the whole body can be useful for evaluating the disease severity.",

keywords = "Tc-human serum albumin-D scintigraphy, diaper, egested feces, protein-losing enteropathy",

author = "Yoji Matsusaka and Tadaki Nakahara and Yu Iwabuchi and Yoshiki Owaki and Hidetoshi Narimatsu and Masahiro Jinzaki",

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T1 - Egested Feces Revealed Massive Protein Loss in 99mTc-HSA-D Scintigraphy

AU - Matsusaka, Yoji

AU - Nakahara, Tadaki

AU - Iwabuchi, Yu

AU - Owaki, Yoshiki

AU - Narimatsu, Hidetoshi

AU - Jinzaki, Masahiro

PY - 2020/7/1

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AB - A 66-year-old man with severe diarrhea and severe hypoproteinemia was referred for 99mTc-DTPA-human serum albumin (HSA-D) scintigraphy. The scintigraphy at 24 hours postinjection showed strong accumulation of 99mTc-HSA-D in not only the colon but also all his diapers containing his egested feces. The ratio of the diapers counts to the total counts was 17.0%, and a considerable amount of protein loss was confirmed. 99mTc-HSA-D scintigraphy has an important role in diagnosing protein-losing enteropathy, but the abdomen is the only routinely scanned area. Additional scanning of egested radiotracer and the whole body can be useful for evaluating the disease severity.

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KW - protein-losing enteropathy

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