title: Lymphoscintigraphy using technetium-99m HSA-DTPA with SPECT/CT in chylothorax after childbirth.
abstract: Technetium-99m human serum albumin diethylene-triaminepentaacetic acid (HSA-DTPA) lymphoscintigraphy with single photon emission computed tomography combined with integrated low-dose computed tomography (SPECT/CT) is useful for evaluating chylothorax. We report a case of chylothorax that occurred 2 months after childbirth in a 24-year-old woman. Lymphoscintigraphy with SPECT/CT showed abnormal tracer accumulation in the right plural effusion, and chylothorax was diagnosed. Collateral branches of the thoracic duct were found to be ruptured during video-assisted thoracoscopic surgery performed for ligation.
authors.affiliation: Department of Radiology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621, Japan. momosemi@shinshu-u.ac.jp
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Momose
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kawakami
authors.forename: Tomonobu
authors.initials: T
authors.lastname: Koizumi
authors.forename: Kazuo
authors.initials: K
authors.lastname: Yoshida
authors.forename: Shintaro
authors.initials: S
authors.lastname: Kanda
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Kondo
authors.forename: Masumi
authors.initials: M
authors.lastname: Kadoya
mesh_terms: D000328:Adult; D002916:Chylothorax / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D049590:Postpartum Period; D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin; D016284:Technetium Tc 99m Pentetate; D020775:Thoracic Surgery, Video-Assisted; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin; C057162:technetium Tc 99m DTPA HSA; D016284:Technetium Tc 99m Pentetate