Identification of Concomitant Iatrogenic Lower Extremity Lymphedema and Pelvic Lymphatic Leak on Lymphoscintigraphy and SPECT/CT

J Nucl Med Technol. 2021 Jun;49(2):186-187. doi: 10.2967/jnmt.120.257246. Epub 2020 Dec 24.

Abstract

Pelvic lymphatic leakage and lower extremity lymphedema are well-known complications of pelvic surgery or radiation therapy. We report a cervical carcinoma patient who, after hysterectomy and lymphadenectomy, developed concomitant lymphedema of the left lower extremity and a pelvic lymphatic leak identified on lymphoscintigraphy and SPECT/CT.

Keywords: SPECT/CT; lymphatic ascites; lymphedema; lymphoscintigraphy.

MeSH terms

  • Female
  • Humans
  • Iatrogenic Disease
  • Lower Extremity / diagnostic imaging
  • Lymphedema* / diagnostic imaging
  • Lymphedema* / etiology
  • Lymphoscintigraphy*
  • Single Photon Emission Computed Tomography Computed Tomography