Top

Published in:

01-03-2015 | Case Report

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

Authors: Minseok Suh, Gi Jeong Cheon, Hyo Jung Seo, Hyeon Hoe Kim, Dong Soo Lee

Published in: Nuclear Medicine and Molecular Imaging | Issue 1/2015

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.

Aye UT, Aung ST. Chyluria. Clin Radiol. 1975;26(2):237–42.PubMed

Ngan H, Leong CH. A lymphographic study of chyluria. Br J Radiol. 1977;50(600):863–70.CrossRefPubMed

Peng HW, Chou CF, Shiao MS, Lin E, Zheng HJ, Chen CC, et al. Urine lipids in patients with a history of filariasis. Urol Res. 1997;25(3):217–21.CrossRefPubMed

Stalens JP, Falk M, Howmann-Giles R, Roy LP. “Milky” urine—a child with chyluria. Eur J Pediatr. 1992;151(1):61–2.CrossRefPubMed

Paik YH, Cho YJ, Koo DS, Ree HI, Shim JC. [Studies on the current epidemiological situation of brugian filariasis in endemic areas of Korea]. Korean J Parasitol. 1988;26(4):255–62.CrossRef

Lin TP, Hsu YS, Chen KK, Lin AT, Chang YH, Wu HH, et al. Chyluria—experience of Taipei Veterans General Hospital. J Chin Med Assoc. 2003;66(2):109–12.PubMed

Np G. Retroperitoneoscopic management of intractable chyluria. Indian J Urol. 2005;21(1):63–5.CrossRef

Sachit Sharma AKH. Chyluria—an overview. Int J Nephrol Urol. 2009;1(1):14–26.

Sun T, Hu F, Cui S, Chen W, Feng L, Cao R. Localization diagnosis of chyluria by radionuclide lymphoscintigraphy. Zhonghua Yi Xue Za Zhi. 2002;82(4):247–8.PubMed

10.

Husarik DB, Steinert HC. Single-photon emission computed tomography/computed tomographyfor sentinel node mapping in breast cancer. Semin Nucl Med. 2007;37(1):29–33.CrossRefPubMed

11.

Bybel B, Brunken RC, DiFilippo FP, Neumann DR, Wu G, Cerqueira MD. SPECT/CT imaging: clinical utility of an emerging technology. Radiographics. 2008;28(4):1097–113.CrossRefPubMed

12.

Wanebo HJ, Harpole D, Teates CD. Radionuclide lymphoscintigraphy with technetium 99m antimony sulfide colloid to identify lymphatic drainage of cutaneous melanoma at ambiguous sites in the head and neck and trunk. Cancer. 1985;55(6):1403–13.CrossRefPubMed

13.

Yuan Z, Luo Q, Chen L, Luo Q, Zhu R. The role of radionuclide lymphoscintigraphy in chyluria. Hell J Nucl Med. 2010;13(3):238–40.PubMed

14.

Haddad MC, al Shahed MS, Sharif HS, Miola UJ. Case report: investigation of chyluria. Clin Radiol. 1994;49(2):137–9.CrossRefPubMed

15.

Weiss M, Landrock S, Wallmichrath J, Baumeister RG, Bartenstein P, Frick A. The clinical yield of SPECT/CT for the assessment of lymphatic transport disorders. First experiences. Nuklearmedizin. 2013;52(6):235–43.CrossRefPubMed

16.

Rahim MK, Kim SE, So H, Kim HJ, Cheon GJ, Lee ES, et al. Recent trends in PET image interpretations using volumetric and texture-based quantification methods in nuclear oncology. Nucl Med Mol Imaging. 2014;48:1–15.CrossRefPubMedCentralPubMed

Title: Usefulness of Additional SPECT/CT Identifying Lymphatico-renal Shunt in a Patient with Chyluria
Authors: Minseok Suh
Gi Jeong Cheon
Hyo Jung Seo
Hyeon Hoe Kim
Dong Soo Lee
Publication date: 01-03-2015
Publisher: Springer Berlin Heidelberg
Published in: Nuclear Medicine and Molecular Imaging / Issue 1/2015
Print ISSN: 1869-3474
Electronic ISSN: 1869-3482
DOI: https://doi.org/10.1007/s13139-014-0300-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2015

The Clinical Value of Hybrid Sentinel Lymphoscintigraphy to Predict Metastatic Sentinel Lymph Nodes in Breast Cancer

18F-FDG PET/CT for Detection of Metachronous Hodgkin’s Disease in Patients with Myelofibrosis

In Vivo Cell Tracking with Bioluminescence Imaging

The Role of 18F-FDG PET/CT as a Prognostic Factor in Patients with Synovial Sarcoma

Metastatic Neuroendocrine Tumour in a Renal Transplant Recipient: Dual-Tracer PET-CT with 18F-FDG and 68Ga-DOTANOC in This Rare Setting

Usefulness of 131I-SPECT/CT and 18F-FDG PET/CT in Evaluating Successful 131I and Retinoic Acid Combined Therapy in a Patient with Metastatic Struma Ovarii