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Intraperitoneal Leakage of Technetium-99m-DTPA Following Renal Transplantation: A Sign of Chylous Ascites

The Departments of Nuclear Medicine and Urology, Hokkaido University School of Medicine, Sapporo, Japan

Correspondence: For correspondence or reprints contact: Kazuo Itoh, MD, Department of Nuclear Medicine, Hokkaido University School of Medicine, Kita-15, Nishi-57, Kita-ku, Sapporo 060, Japan.

ABSTRACT

A 7-yr-old girl developed persistent ascites following renal transplantation. Methods: Renal scintigraphy periodically performed to monitor renal function of the transplanted kidney showed increased ^99mTc-DTPA in the abdominal cavity on delayed imaging. Results: Paracentesis demonstrated a cloudy yellow, odorless fluid which was identified as chylous ascites, an extremely rare complication of abdominal vascular surgery. Conclusion: Technetium-99m-DTPA in the peritoneal cavity following renal transplantation should be recognized as a sign suggestive of chylous ascites.

Key Words: technetium-99m-DTPA • renal transplant • chylous ascites

This article has been cited by other articles:

				W.-C. Liu, M.-C. Kuo, W.-J. Wu, S.-J. Hwang, and H.-C. Chen Chylous ascites after renal transplantation -- a case report Nephrol. Dial. Transplant., November 1, 2006; 21(11): 3336 - 3337. [Full Text] [PDF]