Indian Journal of Nuclear Medicine
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CASE REPORT
Year : 2011  |  Volume : 26  |  Issue : 4  |  Page : 199-201

Bilateral axillary lymph node uptake of radiotracer during lower extremity and scrotal lymphoscintigraphy in a case of primary scrotal lymphoedema


1 Department of Nuclear Medicine and PET/CT, Vijaya Diagnostic Centre Pvt. Ltd, Hyderabad, India
2 Institute of Nuclear Medicine and Allied Sciences, Delhi, India

Correspondence Address:
Anuj Jain
Department of Nuclear Medicine and PET/CT, Vijaya Diagnostic Centre Pvt. Ltd, 3 - 6-16, Lane No.19, Himayat Nagar, Hyderabad - 500 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-3919.106710

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Lymphoscintigraphy is a useful technique for the evaluation of lymphatic function in the presence of limb swelling. The authors report a case where genital swelling in a 20-year-old man was investigated by lymphoscintigraphy. We performed lower limb lymphoscintigraphy and scrotal lymphoscintigraphy in the patient on two different days. Lower limb revealed dermal backflow pattern in lower limbs, inguinoscrotal reflux of the lymph and unexpected avid radiotracer uptake in the axillae bilaterally. Scrotal lymphoscintigraphy revealed slow movement of the lymph from the scrotal skin and again unexpected avid radiotracer uptake in the axillae bilaterally. Findings were concluded as congenital hypoplasia of lymphatics in lower limbs, congenital lymphectasia/compensatory megalymphatics in scrotum and aberrant lymphatic pathway, possibly due to malfunctioning/nonfunctioning thoracic duct.


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