From the Departments of Radiology.
Plastic Surgery, Mayo Clinic Arizona, Scottsdale, AZ.
Clin Nucl Med. 2022 May 1;47(5):e417-e418. doi: 10.1097/RLU.0000000000004132.
We report a case of a 19-year-old man who presented with severe scrotal swelling. His medical history was notable for severe global edema at birth. Most areas of swelling had resolved by adolescence with exception of the scrotum and the left lower extremity. 99mTc-filtered sulfur colloid lymphoscintigraphy of the lower extremities demonstrated prominent dermal backflow into the superficial scrotum and thighs, which were confirmed on the SPECT/CT images, and correlated with findings on MR lymphangiogram. Lymphoscintigram and MR lymphangiogram may provide complementary information to aid diagnosis and management of primary scrotal lymphedema.
我们报告了一例 19 岁男性，他因严重的阴囊肿胀就诊。他的病史特点是出生时就有严重的全身性水肿。除了阴囊和左下肢外，大多数肿胀部位在青春期后已消退。下肢 99mTc 过滤硫胶体淋巴闪烁显像显示明显的真皮反流进入阴囊和大腿的浅层，这些在 SPECT/CT 图像上得到证实，并与磁共振淋巴管造影的结果相关。淋巴闪烁显像和磁共振淋巴管造影可提供互补信息，以帮助诊断和治疗原发性阴囊淋巴水肿。
