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

Francesca IueleDino RubiniCorinna AltiniPaolo MammucciAntonio Rosario Pisani
Published in: Biomedicines (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.
Keyphrases
  • cell free
  • image quality
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  • computed tomography
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  • high resolution
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  • pet ct
  • positron emission tomography
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  • radiation therapy
  • mass spectrometry