1
Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2
Neonatal Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract
We reported a 14 months old boy referred for evaluation of chylous ascites to our nuclear medicine department. Tc-99m Phytate was injected subcutaneously in his calves and whole body images as well as abdominal SPECT were performed. The SPECT images could localize an area of several intestinal lymphangiomata in the abdominal region. The abnormal region was surgically resected and the patient ascites symptoms subsided consequently.
Kim H, Shin MJ, Kim SJ, Kim IJ, Park I. The relation of visualization of internal mammary lymph nodes on lymphoscintigraphy to axillary lymph node metastases in breast cancer. Lymphat Res Biol. 2014 Dec;12(4):295-300.
Ravari H, Sadri K, Sadeghi R. Growth plate uptake of Tc-99m-phytate on lymphoscintigraphy images. Lymphat Res Biol. 2015 Mar;13(1):59-61.
Dylke ES, Kilbreath SL, Ward LC. Reliability of lymphoscintigraphy. Lymphat Res Biol. 2015 Sep;13(3):227.
Aliakbarian M, Memar B, Jangjoo A, Zakavi SR, Reza Dabbagh Kakhki V, Aryana K, Forghani MN, Sadeghi R. Factors influencing the time of sentinel node visualization in breast cancer patients using intradermal injection of the radiotracer. Am J Surg. 2011 Aug;202(2):199-202.
Sadeghi R, Forghani MN, Memar B, Abdollahi A, Zakavi SR, Mashhadi MT, Raziee HR, Tavassoli A, Kakhki VR. Comparison of pre-operative lymphoscintigraphy with inter-operative gamma probe and dye technique regarding the number of detected sentinel lymph nodes. Hell J Nucl Med. 2009 Jan-Apr;12(1):30-2.
Sadeghi R, Kazemzadeh G, Keshtgar M. Diagnostic application of lymphoscintigraphy in the management of lymphoedema. Hell J Nucl Med. 2010 Jan-Apr;13(1):6-10.
Bellini C, Villa G, Sambuceti G, Traggiai C, Campisi C, Bellini T, Morcaldi G, Massocco D, Bonioli E, Boccardo F. Lymphoscintigraphy patterns in newborns and children with congenital lymphatic dysplasia. Lymphology. 2014 Mar;47(1):28-39.
Kim YH, Choi JY, Kim YW, Kim DI, Do YS, Hwang JH, Hyun SH, Lee KH, Kim BT. Characterization of congenital vascular malformation in the extremities using whole body blood pool scintigraphy and lymphscintigraphy. Lymphology. 2009 Jun;42(2):77-84.
Halkic N1, Abdelmoumene A, Suardet L, Mosimann F. Postoperative chylous ascites after radical gastrectomy. A case report. Minerva Chir. 2003 Jun;58(3):389-91.
Al-Busafi SA, Ghali P, Deschênes M, Wong P. Chylous Ascites: Evaluation and Management. ISRN Hepatology. 2014;240473.
Aalami OO, Allen DB, Organ CH Jr. Chylous ascites: a collective review. Surgery. 2000 Nov;128(5):761-78.
Huang Q, Jiang ZW, Jiang J, Li N, Li JS. Chylous ascites: treated with total parenteral nutrition and somatostatin. World J Gastroenterol. 2004 Sep 1;10(17):2588-91.
Cochran WJ, Klish WJ, Brown MR, Lyons JM, Curtis T. Chylous ascites in infants and children: a case report and literature review. J Pediatr Gastroenterol Nutr. 1985 Aug;4(4):668-73.
Ahadi M, Tehranian S, Memar B, Vossoughinia H, Salari M, Eskandari E, Farzanehfar M, Sadeghi R. Diagnostic value of carcinoembryonic antigen in malignancy-related ascites: systematic review and meta-analysis. Acta Gastroenterol Belg. 2014 Dec;77(4):418-24.
Lin RY, Zou H, Chen TZ, Wu W, Wang JH, Chen XL, Han QX. Abdominal lymphangiomatosis in a 38-year-old female: case report and literature review. World J Gastroenterol. 2014 Jul 7;20(25):8320-4.
Blei F. Lymphangiomatosis: clinical overview. Lymphat Res Biol. 2011;9(4):185-90.
Blei F. Update March 2015. Lymphat Res Biol. 2015;13(1):66-73.
Oh JK, Yoon HE, Chung YA. Lymphoscintigraphic demonstration of chyle leak after kidney transplantation and gamma camera detection of radioactivity in chylous aspirate. Clin Nucl Med. 2014 Aug;39(8):760-1.
Kazemzadeh GH, Sadeghi R, Ebrahimi E, Rad MA. A successful experience in managing a chylous reflux: importance of lymphoscintigraphy. Clin Nucl Med. 2014 May;39(5):485-7.
Padma S, Sundaram PS, Babu KS. Unsuspected chylous ascites in an asymptomatic case of Rosai Dorfman disease. Clin Nucl Med. 2013 May;38(5):367-71.
Atkinson C, Banks K. Imaging Idiopathic Chylopericardium With 99mTc-SC Lymphoscintigraphy and SPECT/CT. Clin Nucl Med. 2015 Nov;40(11):e508-10.
Peña Quián Y1, Hernández Ramirez P, Batista Cuellar JF, Perera Pintado A, Coca Pérez MA. Lymphoscintigraphy for the assessment of autologous stem cell implantation in chronic lymphedema. Clin Nucl Med. 2015 Mar;40(3):217-9.
Ghahremani, S., Shafiee, S., Sabour, M., Bazrafshan, A., & Sadeghi, R. (2016). Tc-99m Phytate lymphoscintigraphy: An excellent method for diagnosis of underlying cause of chylous ascites. Iranian Journal of Nuclear Medicine, 24(2), 150-153.
MLA
Somayeh Ghahremani; Susan Shafiee; Mahsa Sabour; Ahmad Bazrafshan; Ramin Sadeghi. "Tc-99m Phytate lymphoscintigraphy: An excellent method for diagnosis of underlying cause of chylous ascites". Iranian Journal of Nuclear Medicine, 24, 2, 2016, 150-153.
HARVARD
Ghahremani, S., Shafiee, S., Sabour, M., Bazrafshan, A., Sadeghi, R. (2016). 'Tc-99m Phytate lymphoscintigraphy: An excellent method for diagnosis of underlying cause of chylous ascites', Iranian Journal of Nuclear Medicine, 24(2), pp. 150-153.
VANCOUVER
Ghahremani, S., Shafiee, S., Sabour, M., Bazrafshan, A., Sadeghi, R. Tc-99m Phytate lymphoscintigraphy: An excellent method for diagnosis of underlying cause of chylous ascites. Iranian Journal of Nuclear Medicine, 2016; 24(2): 150-153.