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

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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.

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Conflict of Interest

Min Seok Suh, Gi Jeong Cheon, Hyo Jung Seo, Hyeon Hoe Kim, and Dong Soo Lee declare that they have no conflict of interest.

Informed Consent

This study was approved by the Institutional Review Board at Seoul National University Hospital (IRB No. 1409-039-608) and performed in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2000. Acquisition of informed consent was exempted by the board because of the retrospective nature of the study. Details that might disclose the identity of the subject were omitted.

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Authors and Affiliations

  1. Department of Nuclear Medicine, Seoul National University Hospital, 101 Daehangno, Jongro-gu, Seoul, 110-744, South Korea

    Minseok Suh, Gi Jeong Cheon, Hyo Jung Seo & Dong Soo Lee

  2. Molecular Medicine and Biopharmaceutical Sciences, WCU Graduate School of Convergence Science and Technology, Seoul National University College of Mewdicine, Seoul, South Korea

    Hyo Jung Seo & Dong Soo Lee

  3. Department of Urology, Seoul National University Hospital, Seoul, South Korea

    Hyeon Hoe Kim

Authors
  1. Minseok Suh
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  2. Gi Jeong Cheon
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  3. Hyo Jung Seo
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  4. Hyeon Hoe Kim
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  5. Dong Soo Lee
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Corresponding author

Correspondence to Gi Jeong Cheon.

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Suh, M., Cheon, G.J., Seo, H.J. et al. Usefulness of Additional SPECT/CT Identifying Lymphatico-renal Shunt in a Patient with Chyluria. Nucl Med Mol Imaging 49, 61–64 (2015). https://doi.org/10.1007/s13139-014-0300-6

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  • DOI: https://doi.org/10.1007/s13139-014-0300-6

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