99mTc-Nannocolloid Localization of Lymphorenal Fistula Causing Chyluria | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2008]

Author(s):

1. Maseeh-uz-Zaman: Department of Radiology, The Aga Khan University Hospital,Karachi,Pakistan

2. Riffat Parveen Hussain: Department of Radiology, The Aga Khan University Hospital,Karachi.Pakistan

3. Khalil Ahmed Khan: Department of Radiology, The Aga Khan University Hospital,Karachi.Pakistan

4. Gufran Khan: Department of Radiology, The Aga Khan University Hospital,Karachi.Pakistan

5. M. Nadeem Ahmad: Department of Radiology, The Aga Khan University Hospital,Karachi.Pakistan

Abstract:

Chyluria is an abnormal condition in which chyle appears in the urine because of a fistulous communication between the lymphatics and the urinary tract. It is not life-threatening and spontaneous regression is reported in 50% of cases. Lymphangiography has been the main imaging modality for localization of the site of fistula, but it is invasive and requires expertise. Lymphoscintigraphy using Tc-99m labelled colloid is a safe, non-invasive, reproducible technique, which bears less radiation exposure. A 67-year-old male presented with 7-month history of chyluria following a spinal surgery. Bilateral lower limb lymphoscintigram revealed sluggish lymph flow in the left lower limb and visualization of tracer in the left kidney consistent with lymphorenal fistula. Subsequent cystography revealed appearance of chylous urine from left ureter. Patient refused surgery.

Page(s): 515-516

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 18, Issue: 8, Year: 2008

Keywords:

Chyluria Lymphoscintigraphy Lymphorenal fistula

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