Diagnosis of Primary Scrotal Lymphedema Using 99mTc-Sulfur Colloid Lymphoscintigram: Correlation with MR Lymphangiogram

Annie Rhee, Jonathan A. Flug, William J. Casey, Michael C. Roarke, Alanna M. Rebecca, Ming Yang

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)E417-E418
JournalClinical nuclear medicine
Volume47
Issue number5
DOIs
StatePublished - May 1 2022

Keywords

  • Tc-sulfur colloid
  • lymphoscintigraphy
  • MR lymphangiogram
  • primary scrotal lymphedema
  • SPECT/CT

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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