Lymphoscintigraphy pre- and post-surgical lymphatic leak repair.
This case report demonstrates the use of lymphoscintigraphy for the localization of a pelvic lymphatic leak. The study was made before and after the operative repair of a lymphatic leak and a marked reduction in the leakage was evident postoperatively. The patient, a 38 year old woman, had a history of adenocarcinoma of the cervix, that was treated by abdominal hysterectomy and pelvic node dissection, and she subsequently developed chylous ascites that required ongoing drainage via a Tenckhoff catheter. This case study illustrates how lymphoscintigraphy aided in the localization of a lymphatic leak and the follow up of surgical repair.
Andrews
J T
JT
Department of Nuclear Medicine, Monash Medical Centre, Clayton, Victoria, Australia.
Binder
L J
LJ
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D002915:Chylous Ascites / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007044:Hysterectomy; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000000981:diagnostic imaging; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D011877:Radionuclide Imaging; D012086:Reoperation; D002583:Uterine Cervical Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*