Incidental Detection of Ectopic Ovary Varices by 99m Tc-Red Blood Cell Bleeding Scintigraphy in a Patient With Cirrhosis.

Lu, Xia; Feng, Lijuan; Wang, Wei; Yang, Jigang · Clin Nucl Med · 2023

case_report · Level V

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Abstract

A 72-year-old woman with cirrhosis underwent a 99m Tc-labeled red blood cell (RBC) bleeding scan because of recurrent gastrointestinal bleeding. The images showed abnormal 99m Tc-RBC accumulation in a mass in the region of the left ovary. Contrast-enhanced CT showed expansion of left ovary vein from the left renal vein, which twisted into an enhanced round mass in the left ovary area. Finally, a diagnosis of ectopic ovary varices was made, which is secondary to cirrhosis with portal hypertension. Ovary varices should be included as differential diagnoses of 99m Tc-RBC bleeding scintigraphy.

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