[99m]Tc-nannocolloid localization of lymphorenal fistula causing chylurla
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2008; 18 (8): 515-516
em Inglês
| IMEMR
| ID: emr-102931
ABSTRACT
Chyluria is an abnormal condition in which chyle appears in the urine because of a fistulous communication between the lymphatics and the urinary tract. It is not life-threatening and spontaneous regression is reported in 50% of cases. Lymphangiography has been the main imaging modality for localization of the site of fistula, but it is invasive and requires expertise. Lymphoscintigraphy using Tc-99m labelled colloid is a safe, non-invasive, reproducible technique, which bears less radiation exposure. A 67-year-old male presented with 7-month history of chyluria following a spinal surgery. Bilateral lower limb lymphoscintigram revealed sluggish lymph flow in the left lower limb and visualization of tracer in the left kidney consistent with lymphorenal fistula. Subsequent cystography revealed appearance of chylous urine from left ureter. Patient refused surgery
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Coluna Vertebral
/
Urina
/
Doenças Urológicas
/
Linfografia
/
Cintilografia
/
Quilo
/
Tecnécio
/
Nefropatias
/
Sistema Linfático
Tipo de estudo:
Relato de Casos
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
J. Coll. Physicians Surg. Pak.
Ano de publicação:
2008
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