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Lymphoscintigraphy with single-photon emission computed tomography/computed tomography is useful for determining the

Kohei Kotani¹, Joji Kawabe, Shigeaki Higashiyama

¹Department of Nuclear Medicine, Graduate School of Medicine, Osaka City University, Osaka, Japan.

Indian Journal of Nuclear Medicine : IJNM : the Official Journal of the Society of Nuclear Medicine, India

|August 7, 2013

Abstract:

We describe the case of chylothorax after esophagectomy for esophageal carcinoma. Lymphoscintigraphy with Tc-99m-human serum albumin-diethylenetriaminepentaacetic acid showed an abnormal radioisotope accumulation on the left side of the thoracic duct. Single-photon emission computed tomography (SPECT) combined with computed tomography (CT) revealed a hot spot directly on the site at, which the thoracic duct was ligated during surgery, which was the suggested site of chyle leakage. We emphasize that lymphoscintigraphy with SPECT/CT is very useful tool for accurately identifying the site of the chyle leakage.

Keywords:

Chylothorax esophagectomy lymphoscintigraphy single-photon emission computed tomography/computed tomography

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