technetium-tc-99m-sulfur-colloid and Pericardial-Effusion

Lymphangiomyomas are relatively rare, benign neoplasms. Many patients present with symptoms including effusions, and some cases are incidentally detected. Surgical excision is the treatment of choice, but because of its location, complete surgical resection of a lymphangioma can be technically difficult, and recurrent cases can present with symptoms including effusions. 99mTc-sulfur colloid scan can be used to confirm the leak and nature of the effusion fluid. Here, we present an 8-year-old girl with recurrent pleural and pericardial effusions after lymphocele excision and total pericardiectomy. 99mTc-sulfur colloid lymphoscintigraphy was done to rule out secondary chylopericardium.

Topics: Child; Female; Humans; Lymphangiomyoma; Lymphoscintigraphy; Neoplasm, Residual; Pericardial Effusion; Technetium Tc 99m Sulfur Colloid

This paper describes a case of 65-year-old woman with primary chylopericardium. She received Tc-99m phytate lymphoscintigraphy after pericardial drainage and was managed with medium-chain triglycerides without surgical intervention. This was the first reported case of primary chylopericardium diagnosed with Tc-99m phytate lymphoscintigraphy.

Topics: Aged; Female; Humans; Lymph Nodes; Pericardial Effusion; Radionuclide Imaging; Technetium Tc 99m Sulfur Colloid

Primary isolated chylopericardium is a rare disorder in which chylous fluid accumulates in the pericardial space. In this case report of a 61-year-old man with chylopericardium, pedal (99m)Tc-sulfur colloid (SC) lymphoscintigraphy was performed after emergent pericardiocentesis, and when there was a recurrent massive pericardial effusion. The results showed that (99m)Tc-SC lymphoscintigraphy can clearly reveal the lymphodynamics in patients with primary isolated chylopericardium. This noninvasive investigation is valuable and can be easily performed either before or after pericardiocentesis.

Topics: Humans; Lymph Nodes; Male; Mediastinum; Middle Aged; Pericardial Effusion; Pericardiocentesis; Radionuclide Imaging; Recurrence; Technetium Tc 99m Sulfur Colloid

Topics: Catheterization; Humans; Injections, Intraperitoneal; Pericardial Effusion; Pericardium; Peritoneal Cavity; Radionuclide Imaging; Technetium Tc 99m Sulfur Colloid

Three clinically unsuspected malignant pericardial effusions were discovered during routine dynamic hepatic scintigraphy. The only common clinical feature shared by the patients was dyspnea. Static scintigrams alone would not have detected these effusions, which points out again the importance of including dynamic scintigraphy in routine radionuclide evaluations of the liver.

Topics: Aged; Breast Neoplasms; Female; Humans; Liver; Lung Neoplasms; Lymphoma; Male; Middle Aged; Pericardial Effusion; Radionuclide Imaging; Technetium Tc 99m Sulfur Colloid