Chylopericardium Due to Residual Lymphangiomyoma Detected on 99mTc-Sulfur Colloid Lymphoscintigraphy

Abstract

Lymphangiomyomas are relatively rare, benign neoplasms. Many patients present with symptoms including effusions, and some cases are incidentally detected. Surgical excision is the treatment of choice, but because of its location, complete surgical resection of a lymphangioma can be technically difficult, and recurrent cases can present with symptoms including effusions. 99mTc-sulfur colloid scan can be used to confirm the leak and nature of the effusion fluid. Here, we present an 8-year-old girl with recurrent pleural and pericardial effusions after lymphocele excision and total pericardiectomy. 99mTc-sulfur colloid lymphoscintigraphy was done to rule out secondary chylopericardium.

Delayed chylopericardium after radical surgery for esophageal cancer: a case report

“…In addition, Hemrom et al. ( 7 ) proposed that radionuclides can be used to diagnose chylopericardium and to identify the site of lymphatic damage, but due to the poor basic condition of the patient in the present case, radionuclide examination was not performed on admission.…”

Hyperthyroidism Incidentally Noted on Lymphoscintigraphy

“…However, lymphoscintigraphy is also a common nuclear medicine imaging method to assess various other clinical presentations, which might involve lymphatic abnormalities. [1][2][3][4][5][6][7][8][9] A 43-year-old woman presented to our hospital with left limb edema for 20 years and left arm edema for half year. Her other significant history included right below knee amputation 15 years ago due to protracted osteomyelitis of the right tibia.…”

“…The application of lymphoscintigraphy in the identification of sentinel node in surgical oncology is well known. However, lymphoscintigraphy is also a common nuclear medicine imaging method to assess various other clinical presentations, which might involve lymphatic abnormalities 1–9 . A 43-year-old woman presented to our hospital with left limb edema for 20 years and left arm edema for half year.…”