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Gastrointestinal Lymphorrhea Diagnosed by Exercise Lymphoscintigraphy
Ana Barić1, Vinko Marković, Adela Arapović
1From the *Department of Nuclear Medicine, and †Paediatric Department, University Hospital Split, Split, Croatia.
Clinical Nuclear Medicine
|November 8, 2016
Summary
Exercise lymphoscintigraphy can improve diagnosis of lymphorrhea, a condition often missed by standard imaging. Tailored exercises help visualize lymph leakage in conditions like lymphangiectasia.
Area of Science:
- Medical Imaging
- Diagnostic Procedures
- Gastroenterology
Background:
- Lymphoscintigraphy is typically not a first-line diagnostic tool for abdominal or thoracic lymphorrhea.
- Diagnosing lymphorrhea can be challenging, often requiring multiple attempts or specialized techniques.
Observation:
- A patient with lymphangiectasia and post-traumatic lymphorrhea required a third lymphoscintigraphy attempt for diagnosis.
- Pushups exercise was used to increase venous pressure, promoting lymph backflow in the thoracic duct and enteric lymphatics.
Findings:
- Lymphorrhea was clearly visualized in the ascending and transverse colon on a 9-hour planar scintigram.
- The use of exercise during lymphoscintigraphy enhanced the detection of lymph leakage.
Implications:
- Exercise lymphoscintigraphy, with patient-tailored exercises, may improve the detection rate of lymphorrhea.
- This technique could be valuable for diagnosing suspected lymph leakage in various clinical scenarios.
