111 Infected Pseudoaneurysm of Right Iliac Artery Endograft

CASE 111


Clinical Presentation


A 72-year-old man develops fever and leukocytosis several weeks after placement of an aortoiliac arterial endograft.


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Fig. 111.1 Whole-body planar image, anterior and posterior projections, 111In-WBCs.


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Fig. 111.2 Whole-body SPECT, coronal projection, 111In-WBCs.


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Fig. 111.3 abdominal SPECT, axial projection, 111InWBCs.


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Fig. 111.4 abdominal CT, axial projection.


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Fig. 111.5 Fused SPECT/CT (Figs. 111.3 and 111.4), axial projection.


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Fig. 111.6 abdominal SPECT, coronal projection, 111In-WBCs.


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Fig. 111.7 abdominal CT, coronal projection.


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Fig. 111.8 Fused SPECT/CT (Figs. 111.6 and 111.7), coronal projection.


Technique


• A 0.5 mCi dose of white blood cells labeled with 111In-WBCs is injected intravenously.


• Images are obtained 24 hours following tracer injection.


• Whole-body planar imaging (Fig. 111.1) and whole-body SPECT imaging (Fig. 111.2) with a dual-detector gamma camera


• Medium-energy collimators


• Energy peaks: 173 and 247 keV


• Use of software to fuse SPECT and CT images in axial and coronal projections (Figs. 111.3, 111.4, 111.5, 111.6,

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Jan 24, 2016 | Posted by in NUCLEAR MEDICINE | Comments Off on 111 Infected Pseudoaneurysm of Right Iliac Artery Endograft

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