Abstract
We describe a case of a 76-year-old male admitted with fever and pain in his left leg. He had an axillobifemoral bypass, 1 year previously physical examination revealed weak peripheral pulses in both legs and a fluid collection in the left groin. A technetium scan showed intense leukocyte uptake in pelvic graft and in the left groin. This was considered diagnostic for infection. On removal of the graft it was found to be thrombosed. Culture of the graft was negative. Thrombosis of vascular prosthetic grafts can give a false positive result with labelled leukocytes. In case of positive uptake in 99mTc-HMPAO labelled leukocyte scintigraphy, thrombosis must be ruled out by means of complementary techniques.
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