| Japanese |
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| Title | Gaシンチ所見と病理所見との比較を行った腸間膜脂肪織炎の一例 |
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| Subtitle | 症例報告 |
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| Authors | 河辺譲治*, 越智宏暢**, 岡村光英**, 細川知紗*, 小田淳郎*, 小野山靖人* |
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| Organization | *大阪市立大学医学部放射線医学教室, **核医学研究室 |
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| Journal | 核医学 |
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| Volume | 31 |
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| Number | 9 |
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| Page | 1101-1106 |
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| Year/Month | 1994/9 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」症例は, 75歳男性で下腹部腫瘤の精査目的で平成4年9月に当院に入院した. 入院後の画像診断では腸間膜脂肪織炎が疑われた. 保存療法で改善しないため3か月後に手術が行われたが, 術前に行われたガリウムシンチでも腹部腫瘤に一致してRI集積を認めた. 術後のホルマリン標本から病巣部を含む3か所の組織片を取り出し, ウエルタイプシンチレーションカウンタでそれぞれの放射能を測定したところ, 病理組織標本で炎症組織の認められる病巣部は著しく高いカウント比を示した. 本症は炎症性疾患であり, 炎症, 脂肪壊死, 線維化と時期が推移していくと言われており, ガリウムシンチで腹部に異常集積が認められた場合, 鑑別診断の1つとして考えておく必要があると考えられた. 「I. はじめに」腸間膜脂肪織炎(mesenteric Panniculitis)は腸間膜脂肪織の非特異的炎症であり, 稀な疾患である. 通常注腸検査, 内視鏡検査, X線CT検査などで診断されているが, 今回われわれはガリウムシンチを施行しS状結腸部への67Ga-citrateの集積を認め, 摘出標本の測定により腸間膜脂肪織炎の病巣部への集積が証明された1例を経験したので報告する. |
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| Practice | 臨床医学：一般 |
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| Keywords | 67Ga-citrate scintigraphy, Mesenteric panniculitis. |
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| English |
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| Title | A Case of Mesenteric Panniculitis : Comparing the Findings of 67Ga Scintigraphy with Pathological Results |
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| Authors | Joji KAWABE*, Hironobu OCHI**, Terue OKAMURA**, Chisa HOSOKAWA*, Junro ODA*, Yasuto ONOYAMA* |
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| Authors(kana) | |
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| Organization | *Department of Radiology, **Division of Nuclear Medicine, Osaka City University Medical School |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 31 |
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| Number | 9 |
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| Page | 1101-1106 |
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| Year/Month | 1994/9 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] We report a case of mesenteric panniculitis where we compared the findings of 67Ga-citrate (Ga) scintigraphy with pathological results. The patients, a 75-year-old man, was hospitalized for examination of low abdominal mass. After hospitalization he developed high CRP levels. A Ba enema revealed serrated intestinal walls and a thick fat density, the margins of which were distinct, as judged from abdominal CT scans. Therefore we suspected a mesenteric panniculitis. Since the patient did not improve under conservative treatment for three months, surgery was performed a day after Ga scintigraphy which showed the abnormal uptake in the abdominal mass, which was removed. The radioactivity of several tissue slices from the resected specimen containing the affected part which had been described inflammatory in the pathological examination showed very high radioactivity. This disease is usually diagnosed from the typical findings of Ba enema and CT scan. But, when an extraordinary abdominal accumulation presents, one should think of performing a Ga scan as an additional diagnostic parameter. |
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| Practice | Clinical medicine |
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| Keywords | 67Ga-citrate scintigraphy, Mesenteric panniculitis. |
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