Case Report

Radiation Medicine

, Volume 26, Issue 8, pp 508-511

First online:

Lymphoscintigraphy using technetium-99m HSA-DTPA with SPECT/CT in chylothorax after childbirth

  • Mitsuhiro MomoseAffiliated withDepartment of Radiology, Shinshu University School of Medicine Email author 
  • , Satoshi KawakamiAffiliated withDepartment of Radiology, Shinshu University School of Medicine
  • , Tomonobu KoizumiAffiliated withFirst Department of Internal Medicine, Shinshu University School of Medicine
  • , Kazuo YoshidaAffiliated withSecond Department of Surgery, Shinshu University School of Medicine
  • , Shintaro KandaAffiliated withFirst Department of Internal Medicine, Shinshu University School of Medicine
  • , Ryoichi KondoAffiliated withSecond Department of Surgery, Shinshu University School of Medicine
  • , Masumi KadoyaAffiliated withDepartment of Radiology, Shinshu University School of Medicine

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Abstract

Technetium-99m human serum albumindiethylenetriaminepentaacetic 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.

Key words

Chylothorax Lymphoscintigraphy Tc-99m human serum albumin-diethylenetriaminepentaacetic acid SPECT/CT Childbirth