From the Departments of *Radiology and †Internal Medicine, Division of Nephrology, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Clin Nucl Med. 2014 Aug;39(8):760-1. doi: 10.1097/RLU.0000000000000482.
Iatrogenic chyle leak with chyloma formation is a rare complication of kidney transplantation resulting from injury to the lymphatics. We present a case of a 53-year-old man who complained of right leg swelling 2 months after kidney transplantation for chronic renal failure. Abdomen CT showed loculated fluid collection around the transplanted kidney. Lymphoscintigraphy demonstrated chyle leak in the right iliac fossa, and subsequent ultrasound-guided aspiration of the chyloma showed radioactivity as detected by gamma camera. After drainage insertion, the amount of collected fluid gradually decreased, and right leg edema was relieved.
医源性乳糜漏伴乳糜瘤形成是肾移植术后的一种罕见并发症，由淋巴管损伤引起。我们报告了 1 例 53 岁男性患者，慢性肾衰竭行肾移植术后 2 个月出现右下肢肿胀。腹部 CT 显示移植肾周围有分隔积液。淋巴闪烁显像显示右髂窝有乳糜漏，随后超声引导下抽吸乳糜瘤显示γ相机探测到放射性。引流管插入后，采集的液体量逐渐减少，右下肢水肿缓解。
