Nucl Med Mol Imaging.  2015 Mar;49(1):61-64. 10.1007/s13139-014-0300-6.

Usefulness of Additional SPECT/CT Identifying Lymphatico-renal Shunt in a Patient with Chyluria

Affiliations
  • 1Department of Nuclear Medicine, Seoul National University Hospital, 101 Daehangno, Jongro-gu, Seoul 110-744, South Korea. larrycheon@gmail.com
  • 2Molecular Medicine and Biopharmaceutical Sciences, WCU Graduate School of Convergence Science and Technology, Seoul National University College of Medicine, Seoul, South Korea.
  • 3Department of Urology, Seoul National University Hospital, Seoul, South Korea.

Abstract

Lymphoscintigraphy is known to be a useful and non-invasive modality for the evaluation of lymphatic abnormality. However, lymphoscintigraphy has limitations in evaluating chyluria because of its lack of anatomical information. Additional single-photon emission computed tomography (SPECT) combined with computed tomography (CT) was considered to be potentially helpful in detecting the abnormal lymphatico-renal communication. A 20-year-old male patient was referred to our hospital for evaluation of recurrent chyluria. During the third recurrence of chyluria, additional SPECT/CT along with lymphoscintigraphy was performed for evaluation. From the combined SPECT/CT images, lymphatic drainage of radiotracers to the kidney was well visualized, helping diagnosis of a patient with chyluria.

Keyword

Chyluria; Radionuclide lymphoscintigraphy; SPECT/CT

MeSH Terms

Diagnosis
Drainage
Humans
Kidney
Lymphatic Abnormalities
Lymphoscintigraphy
Male
Recurrence
Tomography, Emission-Computed
Young Adult
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