Vol 9, No 1 (2006)
Published online: 2006-01-25
The unusual cause of recurrent abdominal pain in an 11-year-old boy
Nucl. Med. Rev 2006;9(1):77-80.
Abstract
The case of an 11-year-old boy with recurrent abdominal pain
is presented. Physiological findings were found normal during a clinical
investigation, as well as many laboratory tests, ultrasonography
and CT of abdomen. Only a high level of sedimentation rate
and the focus of increased activity in the sacral region on scintigraphy
using 99mTc-HMPAO (hexamethypropyleneaminooxime) labelled
leukocytes were found. The other findings on bone scintigraphy,
X-ray and MRI led to a deflection of the correct diagnosis.
The real culprit proved to be an ingested foreign body (a piece
of a wooden skewer) that the patient failed to reveal.
Keywords: recurrent abdominal painforeign body ingestionscintigraphy using 99mTc-HMPAO labelled leukocyteschildhood