Tc-99m labeled white blood cell imaging in chronic pancreatitis with pseudocyst
Storey, G.R.; Falk, G.; Allman, K.C.; van der Wall, H.
Clinical Nuclear Medicine 22(12): 852-853
1997
ISSN/ISBN: 0363-9762 PMID: 9408650 Document Number: 474583
A 36-year-old woman with a history of thyroid carcinoma, peptic ulcer disease, and alcoholism with chronic pancreatitis had a 4-week history of abdominal pain, anorexia, and weight loss. She demonstrated signs of sepsis with fever, tachycardia, and neutrophil leukocytosis. A tender central abdominal mass was noted. Intravenous ampicillin, metronidazole, and gentamicin therapy was commenced. Abdominal CT scan demonstrated several fluid-density collections, only one of which showed Tc-99m labeled leukocyte accumulation on scintigraphy. One of these large collections was subsequently drained. Analysis of the fluid revealed a high amylase collection, but no white cells. Aerobic and anaerobic bacteria cultures were negative.