Role of 99mTc sulphur colloid lymphoscintigraphy in a rare case of chylothorax and lymphocele formation post esophageal duplication cyst excision

被引：0

作者：

Naveen Yadav

Sameer Taywade

Rajesh Kumar

Arun Prashanth

Rahul Saxena

机构：

[1] AII India Institute of Medical Sciences,Department of Nuclear Medicine

[2] Jodhpur,Department of Pediatric Surgery

[3] AII India Institute of Medical Sciences,undefined

[4] Jodhpur,undefined

来源：

European Journal of Hybrid Imaging | / 5卷

关键词：

Chylothorax; Lymphocele; Filtered Tc-99m Sulphur colloid; Lymphoscintigraphy; SPECT-CT;

D O I：

暂无

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学科分类号：

摘要：

We report a rare case of chylothorax with lymphocele formation post esophageal duplication cyst (EDC) excision in a 2 year old male child. Patient developed chylothorax after excision of EDC. Pleural fluid cytology showed increased triglycerides and cholesterol levels. Filtered Tc-99m Sulphur colloid lymphoscintigraphy showed abnormal radiotracer uptake in the lower thoracic region on right side corresponding to lymphocele on SPECT-CT images with possible site of leak medially. In addition, Tc-99m pertechnetate scan was done to rule out possibility of residual duplication cyst revealed no abnormality. Patient underwent open and en-masse ligation of the duct. Patient recovered completely post-surgery. This case highlights the importance of lymphoscintigraphy with SPECT-CT in the evaluation of patients with post-operative complications of chylothorax with detection of site of chyle leak.

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