Preoperative and postoperative lymphoscintigraphy using Tc-99m sulfur colloid in the repair of a lymphatic leak in a patient with traumatic chylothorax

Shung Shung Sun, Shih Chuan Tsai, Nan Yung Hsu, Chih Shiun Shih, Jong Kang Lee, Chia Hung Kao

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Lymphoscintigraphy can identify abnormal lymphatic leakage and drainage in chyluria, chyloperitoneum, and chylothorax. It is a physiologic, fast, and noninvasive method and has no known adverse effects. A 19-year-old man had a massive left pleural effusion after trauma, and draining fluid was found to be chylous. Preoperative and postoperative lymphoscintigraphy were performed after subcutaneous injection of Tc-99m sulfur colloid into the first-second and fourth-fifth interdigital spaces of both feet and using a large-field-of-view gamma camera fitted with a low-energy, general purpose collimator. Preoperative lymphoscintigraphy showed abnormal focal tracer accumulation in the left subclavicular region close to the mediastinum and diffusely increased tracer uptake in the left lung field approximately 1 hour after injection. The thoracic duct was surgically ligated, and follow-up postoperative lymphoscintigraphy showed no abnormal tracer accumulation at the previously abnormal sites.

Original languageEnglish
Pages (from-to)840-841
Number of pages2
JournalClinical Nuclear Medicine
Volume25
Issue number10
DOIs
Publication statusPublished - 2000
Externally publishedYes

Keywords

  • Chyolothorax
  • Lymphatic Leak
  • Lymphoscintigraphy
  • Tc-99m Sulfur Colloid
  • Thoracic Duct

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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