title: Lymphoscintigraphic demonstration of chyle leak after kidney transplantation and gamma camera detection of radioactivity in chylous aspirate.
abstract: Iatrogenic chyle leak with chyloma formation is a rare complication of kidney transplantation resulting from injury to the lymphatics. We present a case of a 53-year-old man who complained of right leg swelling 2 months after kidney transplantation for chronic renal failure. Abdomen CT showed loculated fluid collection around the transplanted kidney. Lymphoscintigraphy demonstrated chyle leak in the right iliac fossa, and subsequent ultrasound-guided aspiration of the chyloma showed radioactivity as detected by gamma camera. After drainage insertion, the amount of collected fluid gradually decreased, and right leg edema was relieved.
authors: From the Departments of *Radiology and †Internal Medicine, Division of Nephrology, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
authors: Jin Kyoung
authors: JK
authors: Oh
authors: Hye Eun
authors: HE
authors: Yoon
authors: Yong-An
authors: YA
authors: Chung
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging; D002913:Chyle / Q000000981:diagnostic imaging*; D004487:Edema / Q000000981:diagnostic imaging* / Q000209:etiology; D015902:Gamma Cameras; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D007866:Leg / Q000000981:diagnostic imaging; D061305:Lymphoscintigraphy; D008297:Male; D008875:Middle Aged