Lympho-SPECT/CT as a Key Tool in the Management of a Patient with Chylous Ascites.

Biomedicines

Nuclear Medicine Unit, Interdisciplinary Department of Medicine, University of Bari 'Aldo Moro', 70124 Bari, Italy.

Published: January 2023

Chylous ascites is a rare form of ascites usually associated with cirrhosis, abdominal malignancies, surgeries or infections. We presented a case of chylous ascites after robotic laparoscopic prostatectomy (PLDN-RALP), in which the correct diagnosis was achieved by SPECT/CT lymphoscintigraphy. A 72-year-old male developed chylous ascites after surgery and underwent lymphoscintigraphy with radiolabeled albumin nanocolloids for the supplementary study of the lymph flow and to detect a possible site of leakage. The scintigraphic imaging demonstrated the abdominal effusion and lymph stasis in the left iliac region. The combination of planar imaging with SPECT/CT can resolve the assessment of chylous disorders.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9953622PMC
http://dx.doi.org/10.3390/biomedicines11020282DOI Listing

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