Ruptured liver metastasis with active hemorrhage has the classic appearance of a giant cavernous hemangioma on 99mTc-labeled RBC scintigraphy.

Department of Medical Imaging, Division of Nuclear Medicine, London Health Sciences Centre, London, Ontario, Canada. Robert.Wolfson@londonhospitals.ca

Clinical nuclear medicine 2012 Oct

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A 55-year-old woman with abdominal pain, trace hematochezia, and anemia underwent 99mTc-labeled RBC scintigraphy to assess for gastrointestinal bleeding. The patient had a remote history of malignant melanoma and had been in a motor vehicle collision 3 weeks prior. The scintigraphic findings were compatible with a giant cavernous hemangioma in the liver. A subsequent contrast-enhanced abdominal CT scan demonstrated venous extravasation into a ruptured liver metastasis.

Citation

Robert M Wolfson, Jonathan Romsa. Ruptured liver metastasis with active hemorrhage has the classic appearance of a giant cavernous hemangioma on 99mTc-labeled RBC scintigraphy. Clinical nuclear medicine. 2012 Oct;37(10):984-5