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Indium-111-White Blood Cell Detection of Postradiation Vesicocutaneous Fistulas

Departments of Radiology and Pathology, Morristown Memorial Hospital, Morristown, New Jersey

Correspondence: For correspondence or reprints contact: Lawrence C. Swayne, MD, Department of Radiology, Morristown Memorial Hospital, 100 Madison Avenue, Morristown, New Jersey 07960.

ABSTRACT

We present a case of urinary bladder fistulization which occurred approximately 25 yr after successful radiation therapy for uterine carcinoma. The extensive fistulas were detected with ¹¹¹In-oxine-labeled white blood cell scintigraphy and were confirmed with a fistulogram, computed tomography and surgery. Scintigraphy was valuable for both initial detection as well as staging the extent of inflammation for subsequent diagnostic studies and surgical resection.

Key Words: indium-111-leukocytes • radiotherapy • fistula • uterine carcinoma