Lymphoscintigraphic Demonstration of Chyle Leak After Kidney Transplantation and Gamma Camera Detection of Radioactivity in Chylous Aspirate

ABSTRACTIatrogenic chyle leak with chyloma formation is a rare complication of kidney transplantation resulting from injury to the lymphatics. We present a case of a 53-year-old man who complained of right leg swelling 2 months after kidney transplantation for chronic renal failure. Abdomen CT showe...

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Bibliographic Details
Published in:Clinical nuclear medicine 2014-08, Vol.39 (8), p.760-761
Main Authors: Oh, Jin Kyoung, Yoon, Hye Eun, Chung, Yong-An
Format: Article
Language:English
Subjects:
Abdomen - diagnostic imaging
Chyle - diagnostic imaging
Edema - diagnostic imaging
Edema - etiology
Gamma Cameras
Humans
Kidney Transplantation - adverse effects
Leg - diagnostic imaging
Lymphoscintigraphy
Male
Middle Aged
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Summary:ABSTRACTIatrogenic chyle leak with chyloma formation is a rare complication of kidney transplantation resulting from injury to the lymphatics. We present a case of a 53-year-old man who complained of right leg swelling 2 months after kidney transplantation for chronic renal failure. Abdomen CT showed loculated fluid collection around the transplanted kidney. Lymphoscintigraphy demonstrated chyle leak in the right iliac fossa, and subsequent ultrasound-guided aspiration of the chyloma showed radioactivity as detected by gamma camera. After drainage insertion, the amount of collected fluid gradually decreased, and right leg edema was relieved.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0000000000000482