Preoperative and Postoperative Lymphoscintigraphy Using Tc-99m Sulfur Colloid in the Repair of a Lymphatic Leak in a Patient with Traumatic Chylothorax

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...

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Bibliographic Details
Published in:Clinical nuclear medicine 2000-10, Vol.25 (10), p.840-841
Main Authors: SUN, SHUNG-SHUNG, TSAI, SHIH-CHUAN, HSU, NAN-YUNG, SHIH, CHIH-SHIUN, LEE, JONG-KANG, KAO, CHIA-HUNG
Format: Article
Language:English
Subjects:
Chylothorax - diagnostic imaging
Chylothorax - etiology
Chylothorax - surgery
Female
Humans
Ligation
Male
Postoperative Care
Preoperative Care
Radionuclide Imaging
Radiopharmaceuticals
Technetium Tc 99m Sulfur Colloid
Thoracic Duct - surgery
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Summary: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.
ISSN:0363-9762
1536-0229
DOI:10.1097/00003072-200010000-00027