Hematoma in the Lower Limb: An Incidental Finding in Tc-Labeled Red Blood Cell Venography

Received 4/6/2006; revised 4/26/2006; accepted 4/28/2006. For correspondence or reprints contact: Wan-Yu Lin, M.D., Department of Nuclear Medicine, Taichung Veterans General Hospital. 160 Section 3, Taichung Harbor Road, Taichung 407, Taiwan. Tel: (886)4-23741349, Fax: (886)4-23741348, E-mail: [email protected] We present a case of a 54 year-old woman who had left lower limb swelling. She received Tc-labeled red blood cell (Tc-RBC) venography under the impression of deep vein thrombosis. We found two photopenic regions over her left lower limb accidentally. A moderate amount of dark red fluid was drained from the photopenic lesions under CT-guidance. The final diagnosis was hematomas. Clinical managements of hematoma and deep vein thrombosis are quit different, it is especially challenging in patients who have concomitant hepatic cirrhosis.