title: Gastrointestinal Lymphorrhea Diagnosed by Exercise Lymphoscintigraphy.
abstract: Lymphoscintigraphy is not considered as a first line diagnostic procedure in abdominal or thoracic lymphorrhea of various origin. We report a patient with lymphangiectasia in whom posttraumatic lymphorrhea was diagnosed by lymphoscintigraphy only after third attempt when we applied pushups exercise with the aim to raise venous pressure and thus provoke lymph backflow in ductus thoracicus and enteric lymphytics. Lymphorrhea was clearly visible in colon ascendens and colon transversum on 9h planar scintigram. We propose exercise lymphoscintigraphy with exercise tailored to individual patient's possibility before each lymphoscintigram to enhance lymphorrhea detection in patients with suspected lymph leakage.
authors.affiliation: From the *Department of Nuclear Medicine, and †Paediatric Department, University Hospital Split, Split, Croatia.
authors.forename: Ana
authors.initials: A
authors.lastname: Barić
authors.forename: Vinko
authors.initials: V
authors.lastname: Marković
authors.forename: Adela
authors.initials: A
authors.lastname: Arapović
authors.forename: Sandra
authors.initials: S
authors.lastname: Prgomet
authors.forename: Marijan
authors.initials: M
authors.lastname: Saraga
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging*; D000293:Adolescent; D015444:Exercise; D006801:Humans; D008206:Lymphatic Diseases / Q000000981:diagnostic imaging*; D061305:Lymphoscintigraphy / Q000379:methods*; D008297:Male