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Rupture of a Spontaneous Aortoduodenal Fistula Visualized with Tc-RBC Scintigraphy

University of California School of Medicine, and San Francisco General Hospital Medical Center, San Francisco, California

Correspondence: For reprints contact: Chi-Kwan yen. MD, Dept. of Nucl, Med., San Francisco General Hospital Med. Ctr., San Francisco, CA 94110.

ABSTRACT

We present what we believe is the first reported case of a spontaneous aortoduodenal fistula, with massive rupture into the duodenum during the performance of a radionuclide study of gastrointestinal bleeding. Our experience suggests that nuclear scintigraphy with labeled red blood cells can help in the diagnosis of this disorder by demonstrating both the presence of an abdominal aortic aneurysm and bleeding in the gut.

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