Intestinal lymphangiectasia: value of Tc-99m dextran lymphoscintigraphy.
Intestinal lymphangiectasia is a common cause of protein-losing enteropathy characterized by diarrhea, generalized edema, enteric protein loss, hypoproteinemia, and lymphopenia. Diagnosis is based on demonstration of enteric protein loss and characteristic small bowel mucosal histology. Various imaging modalities including barium studies, computed tomography, and lymphangiography have had limited clinical use. The authors report a case of intestinal lymphangiectasia in which Tc-99m dextran lymphoscintigraphy played a significant role in the patient management.
Yueh
T C
TC
Department of Nuclear Medicine, First Affiliated Hospital of Sun Yat-Sen, University of Medical Sciences, Guangzhou, Peoples Republic of China.
Pui
M H
MH
Zeng
S Q
SQ
D000328:Adult; D001466:Barium Sulfate; D003108:Colonic Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D003287:Contrast Media; D003911:Dextrans; D003967:Diarrhea / Q000503:physiopathology; D004487:Edema / Q000503:physiopathology; D005260:Female; D006801:Humans; D007019:Hypoproteinemia / Q000503:physiopathology; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D007408:Intestinal Absorption / Q000502:physiology; D007413:Intestinal Mucosa / Q000473:pathology; D008201:Lymphangiectasis, Intestinal / Q000000981:diagnostic imaging* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D008220:Lymphography; D008231:Lymphopenia / Q000503:physiopathology; D015609:Organotechnetium Compounds; D011506:Proteins / Q000378:metabolism; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D003911:Dextrans; D015609:Organotechnetium Compounds; D011506:Proteins; D019275:Radiopharmaceuticals; C034146:technetium Tc 99m dextran; D001466:Barium Sulfate