[Lower limb edema and steatorrhea: value of scintigraphic technics].
The authors report the case of a young woman with right lower limb edema who also presented one steatorrhea. Her clinical history is typical for one primary lymphedema and the lymphoscintigraphic investigation of the lower limbs confirms the diagnosis. The scan showed the absence of the right iliac and lomboaortic lymph nodes but also that the thoracic duct was normally present. One C14-triolein breath test is pathological and proves the malabsorption of the fats. The authors discuss the interest of the scintigraphic techniques in such case and review the problem of the association between lower limb lymphedemas and fatty malabsorption.
Bourgeois
P
P
Service de Médecine Nucléaire, Institut J. Bordet.
Munck
D
D
Leduc
O
O
D000328:Adult; D001011:Aorta; D001944:Breath Tests; D002250:Carbon Radioisotopes; D002446:Celiac Disease / Q000000981:diagnostic imaging* / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007085:Ilium; D007866:Leg; D008208:Lymphatic System / Q000002:abnormalities*; D008209:Lymphedema / Q000000981:diagnostic imaging* / Q000209:etiology; D061305:Lymphoscintigraphy; D011877:Radionuclide Imaging / Q000379:methods / Q000592:standards; D012680:Sensitivity and Specificity
D002250:Carbon Radioisotopes