HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Marcus, C. S. Articles by Grady, P. J. Search for Related Content PubMed PubMed Citation Articles by Marcus, C. S. Articles by Grady, P. J.

Uptake of Tc-99m MAA by the Liver during a Thromboscintigram/Lung Scan

V.A. Wadsworth Medical Center, Los Angeles, California

Correspondence: For reprints contact: Dr. Marcus, 1877 Comstock Ave., Los Angeles, CA 90025.

ABSTRACT

A young man with a swollen left leg was referred to us for a thromboscintigram/lung scan. The unexpected visualization of the liver during the flow study after intravenous injection of Tc-99m MAA into the dorsal veins of both feet provided the clue to his underlying problem. He was shown to have extensive venous collateralization in the left pelvis, and to a lesser degree on the right, due to a large pelvic mass. This was shown to consist of metastases from a previously treated testicular carcinoma. Venous drainage from the legs was shunted into the mesenteric circulation, which then emptied into the portal vein, thereby carrying the radiopharmaceutical to the liver. No uptake was seen in the spleen.