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Gastrointestinal Lymphorrhea Diagnosed by Exercise Lymphoscintigraphy

Barić, Ana, MD; Marković, Vinko, MD, PhD; Arapović, Adela, MD; Prgomet, Sandra, MD; Saraga, Marijan, MD, PhD

doi: 10.1097/RLU.0000000000001390
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Lymphoscintigraphy is not considered as a first line diagnostic procedure in abdominal or thoracic lymphorrhea of various origin. We report a patient with lymphangiectasia in whom posttraumatic lymphorrhea was diagnosed by lymphoscintigraphy only after third attempt when we applied pushups exercise with the aim to raise venous pressure and thus provoke lymph backflow in ductus thoracicus and enteric lymphytics. Lymphorrhea was clearly visible in colon ascendens and colon transversum on 9h planar scintigram. We propose exercise lymphoscintigraphy with exercise tailored to individual patient's possibility before each lymphoscintigram to enhance lymphorrhea detection in patients with suspected lymph leakage.

From the *Department of Nuclear Medicine, and †Paediatric Department, University Hospital Split, Split, Croatia.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Marković Vinko, MD, PhD, Department of Nuclear Medicine, University Hospital Split, Spinčićeva 1, 21000 Split, Croatia. E-mail: vinko.markovic@mefst.hr.

Received for publication February 17, 2016; revision accepted August 11, 2016.

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