Unsuspected Purulent Pericarditis Detected by Gallium-67 Scanning

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Abstract
A 67Ga scan performed because of a suspected intraabdominal infection (in a patient) demonstrated marked pericardial uptake of the isotope instead and thus provided the 1st clue to the diagnosis of purulent pericarditis. Subsequent studies and surgery revealed an esophagopericardial fistula, gas in the pericardial sac and purulent pericarditis caused by multiple bacteria. An unusual cause of pericardial uptake of 67Ga was presented. The use of 67Ga scanning to diagnose purulent pericarditis in the absence of typical clinical findings is illustrated.

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