Nuclear Medicine and Molecular Imaging

, Volume 44, Issue 3, pp 217–222 | Cite as

Huge Varicose Inferior Mesenteric Vein: an Unanticipated 99m Tc-labeled Red Blood Cell Scintigraphy Finding

  • Samaneh HoseinzadehEmail author
  • Babak Shafiei
  • Mohamadtaghi Salehian
  • Isa Neshandar Asli
  • Iraj Ghodoosi
Case Report


Ectopic varices (EcV) are enlarged portosystemic venous collaterals, which usually develop secondary to portal hypertension (PHT). Mesocaval collateral vessels are unusual pathways to decompress the portal system. Here we report the case of a huge varicose inferior mesenteric vein (IMV) that drained into perirectal collateral veins, demonstrated by 99mTc-labeled red blood cell (RBC) scintigraphy performed for lower gastrointestinal (GI) bleeding in a 14-year-old girl. This case illustrates the crucial role of 99mTc-labeled RBC scintigraphy for the diagnosis of rare ectopic lower GI varices.


Portal hypertension Ectopic varices Inferior mesenteric vein Gastrointestinal bleeding 99mTc-labeled red blood cell scintigraphy 


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Copyright information

© Korean Society of Nuclear Medicine 2010

Authors and Affiliations

  • Samaneh Hoseinzadeh
    • 1
    Email author
  • Babak Shafiei
    • 1
  • Mohamadtaghi Salehian
    • 2
  • Isa Neshandar Asli
    • 1
  • Iraj Ghodoosi
    • 2
  1. 1.Department of Nuclear Medicine, Taleghani HospitalShaheed Beheshti Medical UniversityTehranIran
  2. 2.Department of Vascular Surgery, Taleghani HospitalShaheed Beheshti Medical UniversityTehranIran

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