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Pedal 99mTc-Sulfur Colloid Lymphoscintigraphy in Primary Isolated Chylopericardium*

Chao-Hung Wang, MD; Tzu-Chen Yen, MD; Koon-Kwan Ng, MD; Chi-Ming Lee, MD; Ming-Jui Hung, MD; Wen-Jin Cherng, MD
Author and Funding Information

*From the Cardiology Section, Department of Medicine (Drs. Wang, Hung, and Cherng), Department of Nuclear Medicine (Dr. Yen), and Department of Radiology (Drs. Ng and Lee), Chang Gung Medical College, Chang Gung Memorial Hospital, Keelung, Taiwan.

Correspondence to: Wen-Jin Cherng, MD, Chang Gung Memorial Hospital, 222 Mai Chin Rd, Keelung, Taiwan



Chest. 2000;117(2):598-601. doi:10.1378/chest.117.2.598
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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 99mTc-sulfur colloid (SC) lymphoscintigraphy was performed after emergent pericardiocentesis, and when there was a recurrent massive pericardial effusion. The results showed that 99mTc-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.

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