Lymphoscintigraphy With SPECT-CT in Detecting the Site of Chyle Leak in Postoperative Patient

Here is a case of chyle leak post McKeown esophagectomy. Lymphoscintigraphy with 99m Tc-filtered sulfur colloid revealed tracer accumulation along the thoracic duct and in the left hemithorax. Precise localization of leak was done by SPECT-CT imaging. This enabled timely surgical intervention and reduced further morbidity. This procedure is not only precise but also cost-effective as compared with the other available investigations.